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govinfo:USCOURTS-ohsd-3_24-cv-00157-6

U.S. District Court for the Southern District of Ohio · 2026-06-16

· GavelSight synced 2026-09-06 03:51:04

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UNITED STATES DISTRICT COURT 
SOUTHERN DISTRICT OF OHIO 
WESTERN DIVISION AT DAYTON 
 
ABIRA MEDICAL LABORATORIES, LLC,  
 
 Plaintiff,     Case No. 3:24-cv-157 
 
vs.  
 
CARESOURCE, et al.,    District Judge Michael J. Newman 
        
 Defendants. 
______________________________________________________________________________ 
 
ORDER AND ENTRY: (1) GRANTING DEFENDANT’S MOTION FOR SUMMARY 
JUDGMENT (Doc. No. 37); AND (2) NOTING THE MOTION FOR AN ORDER TO 
SHOW CAUSE AND FOR SANCTIONS REMAINS PENDING (Doc. No. 64) 
______________________________________________________________________________ 
 
 This civil diversity case is brought by Plaintiff Abira Medical Laboratories, LLC,
1 a citizen 
of New Jersey,  against Defendant CareSource, 2 a citizen of Ohio,  for breach of contract  with 
alleged damages in excess of $75,000.  Plaintiff alleges that Defendants breached the parties’  
contract by not paying Plaintiff for medical services rendered to some of Defendant’s insureds.3  
Doc. No. 11 at PageID 63. 
 
1 Plaintiff does business as Genesis Diagnostics and is sometimes referred to as “Genesis Diagnostics” or 
“Genesis” in the evidence referenced.  See Doc. No. 11 at PageID 63. 
2 Plaintiff also named as Defendants ABC Companies 1-100 and John Does 1-100 but did not explain their 
potential identities or involvement in its operative, amended complaint.  See Doc. No. 11.  As such, when 
the Court hereafter uses “Defendant ,” it is to refer solely to Defendant CareSource.  When the Court 
references “Defendants,” it refers to CareSource, ABC Companies and John Does. 
3 Plaintiff has brought similar suits against many health insurance companies and in various jurisdictions 
across the country.  See, e.g., Abira Med. Labs., LLC v. York Ins. Servs. Grp., No. 23- 03525, 2024 WL 
2746101, at *1 (D.N.J. May 29, 2024) (“This is one of more than forty cases that Plaintiff…has filed  in the 
United States District Court for the District of New Jersey… since June 2023”); Doc. No. 48-1 at PageID 
460 (Plaintiff’s corporate representative testifying that Abira has filed “at least 20 plus” cases “where Abira 
is suing other insurance companies that haven’t paid” ).  Many of these cases have resulted in dismissal.  
See, e.g., Abira Med. Labs., LLC v. Zurich Am. Ins. Co., No. 23-03891, 2024 WL 2746102 (D.N.J. May 29, 
2024) (granting Defendant’s motion to dismiss). 
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On August 27, 2025, Defendant filed a motion for sanctions, to which Plaintiff responded.  
Doc. Nos. 29, 30.  Defendant replied.  Doc. No. 31.  Thereafter, the undersigned referred the 
motion to Magistrate Judge Peter B. Silvain, Jr., as the motion was rel ated to Plaintiff’s alleged 
disobedience of Judge Silvain’s discovery- related orders.  Doc. No. 40.  Judge Silvain issued a 
Report and Recommendation (“R&R”) to grant the motion in part and deny it in part.  Doc. No. 
47.  The Court then adopted the well -reasoned R&R and subsequently issue d an order ordering 
Plaintiff to pay Defendant within 30 days, which closed on May 10, 2026.  Doc. Nos. 55, 63.  
Additionally, Defendant filed a motion for an order to show cause and for sanctions against 
Plaintiff, to which Plaintiff responded.  Doc. Nos. 64, 65.  Defendant replied.  Doc. No. 66.  Finally, 
the parties went to mediation on January 28, 2026, and the mediator reported that the case was at 
an impasse.  Doc. No. 44. 
The current issue before the Court is  Defendant CareSource’s motion for summary 
judgment.  Doc. No. 37.  The motion was brought against all remaining claims pled by Plaintiff: 
breach of  contract, breach of duty of good faith and fair dealing, and quantum meruit/unjust 
enrichment.  Doc. No. 37 at PageID 304.  Plaintiff responded (Doc. No. 52), and Defendant replied 
(Doc. No. 53).  Thus, the motion is now ripe for decision. 
I.  Undisputed Facts 
The following factual discussion rests upon the evidence submitted in support of 
Defendant’s motion for summary judgment.  The Court views the evidence in the light most 
favorable to Plaintiff, the non-moving party.  See Keweenaw Bay Indian Community v. Rising, 477 
F.3d 881, 886 (6th Cir. 2007).  The Court has reviewed all evidence submitted, including: (1) one 
deposition—Alan Miller ’s Fed. R. Civ. P. 30(b)(6) deposition—on behalf of Plaintiff  (Doc. No. 
48-1); (2) Plaintiff’s in-house counsel’s sworn declaration and attachment of Defendant’s initial 
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disclosures (Doc. No. 52-1 at PageID 842-42; Doc. No. 52-2 at PageID 844-47); (3) Miller’s post-
deposition affidavit; and (4) all exhibits to Miller’s affidavit (Doc. Nos. 58, 59, 60).  See Doc. No. 
52-3.  All -in-all, there was relatively little evidence for the Court to consider in ruling on the 
motion for summary judgment  because Plaintiff never served discovery requests on Defendant .  
Doc. No. 53 at PageID 857; see Fed. R. Civ. P. 56. 
Plaintiff is a medical care and services provider. 4  Doc. No. 48-1 at PageID 448.  Defendant 
is a health insurance company.  Id.  Plaintiff routinely performed clinical laboratory, pharmacy, 
toxicology, genetics, addiction, rehabilitation, and COVID -19 testing services  for Defendant’s 
insureds.  Id. at PageID 461.  Insureds, as well as physician members and non-members, submitted 
formal requests for payment following the rendering of certain medical services.  The parties refer 
to these requests as “requisitions.”  Id. at PageID 509.  Plaintiff claims that Defendant’s insureds 
assigned their benefits to Plaintiff by executing the requisitions.  Id. at PageID 510.  This appears 
to be the typical mechanism through which Plaintiff received payment for its services.  Id. 
Plaintiff performed laboratory work for some of Defendant’s insureds from 2016 through 
2021.  Id. at PageID 464.  Plaintiff alleges that it routinely submitted claims for such laboratory 
work to Defendant for payment and that Defendant has underpaid or refused to pay a portion of 
the claims submitted.  Id. at PageID 481.  Plaintiff seeks actual damages of $665,518.00, as well 
as punitive damages, interest, and costs of the suit.  Doc. No. 11 at PageID 63. 
II.  Summary Judgment Standard 
A motion for summary judgment should be granted if the evidence submitted to the Court 
demonstrates that there is no genuine issue as to any material fact and that the movant is entitled 
 
4 Plaintiff is now in research and development, as its laboratory testing operations ceased following an FBI 
raid on its facilities  in 2021 and its license to operate a laboratory testing business was suspended.  Doc. 
No. 48-1 at PageID 463-67. 
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to summary judgment as a matter of law.  Fed. R. Civ. P. 56; see also Celotex Corp. v. Catrett , 
477 U.S. 317, 322 (1986); Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247- 48 (1986).  A 
court considering a motion for summary judgment must view the facts and all inferences in the 
light most favorable to the non-moving party.  Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 
475 U.S. 574, 587 (1986). 
At the summary judgment stage, the burden is first on the moving party to conclusively 
show no genuine issue of material fact exists.  Celotex, 477 U.S. at 323; Lansing Dairy, Inc. v. 
Espy, 39 F.3d 1339, 1347 (6th Cir. 1994).   The moving party must either point to “particular 
parts of materials in the record, including depositions, documents, electronically stored 
information, affidavits or declarations, stipulations or admissions, interrogatory answers, or other 
materials,” or show “that the materials cited do not establish the absence or presence of a genuine 
dispute, or that an adverse party cannot produce admissible evidence to support the fact.” See  
Fed. R. Civ. P. 56(c)(1)(A) and (B)  (citation modified).  Once the moving party accomplishes 
this, “the non-moving party may not rest upon [his or her] mere allegations or denials of the 
adverse party’s pleadings, but rather must set forth specific facts showing that there is a genuine 
issue for trial.”   Moldowan v. City of Warren, 578 F.3d 351, 374 (6th Cir. 2009) (citation  
modified).  Failure “to properly address another party’s assertion of fact as required by Rule 
56(c)” could result in the Court “consider[ing] the fact undisputed for purposes of the motion.”  
Fed. R. Civ. P. 56(e)(2). 
 Further, “there is no duty imposed upon the trial court to ‘search the entire record to 
establish that it is bereft of a genuine issue of material fact.’”  Guarino v. Brookfield Twp. Trustees, 
980 F.2d 399, 404 (6th Cir. 1992) (citations modified ).  Instead, “[i]t is the attorneys, not the 
judges, who have interviewed the witnesses and handled the physical exhibits; it is the attorneys, 
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not the judges, who have been present at the depositions; and it is the attorneys, not the judges, 
who have a professional and financial stake in case outcome.”  Id . at 406.  In other words, “the 
free-ranging search for supporting facts is a task for which attorneys in the case are equipped and 
for which courts generally are not.”  Id. 
 Finally, for multi-element claims, the moving party’s burden is to show “the absence of a 
genuine issue of material fact as to at least one essential element” of the claim.  Jones v. Muskegon 
Cty., 625 F.3d 935, 940 (6th Cir. 2010).  The non-moving party must then establish “specific facts 
showing there is a genuine issue for trial.”  Anderson, 477 U.S. at 248 (citing Fed. R. Civ. P. 56(e)). 
III.  Discussion 
A. Breach-of-Contract and Breach of Duty of Good Faith and Fair Dealing Claims 
 
 To establish a breach -of-contract claim  under Ohio law , a party must establish  “‘the 
existence of a contract, performance by the plaintiff, breach by the defendant, and damage or loss 
to the plaintiff.’”  New Lansing Gardens Hous . Ltd. P’ship v. Columbus Metr o. Hous. Auth., 46 
F.4th 514, 520 (6th Cir. 2022) (citing Ohio law).  “‘The role of courts in examining contracts is to 
ascertain the intent of the parties.’”  Savedoff v. Access Group, Inc. , 524 F.3d 754,  763 (6th Cir. 
2008) (quoting City of St. Marys v. Auglaize Cty. Bd. of Commrs., 115 Ohio St.3d 387, 875 N.E.2d 
561, 566 (2007)).  “‘The intent of the parties is presumed to reside in the language they choose to 
use in their agreement.’” Id. (quoting Graham v. Drydock Coal Co., 76 Ohio St.3d 311, 667 N.E.2d 
949, 952 (1996)). 
  When a plaintiff does not set forth the alleged contract or its provisions, he fails to state a 
breach-of-contract claim.  Northampton Rest . Grp., Inc. v. FirstMerit Bank, N.A., 492 F. App’x 
518, 522 (6th Cir. 2012).  Additionally, claims for payment relating to medical services under an 
insurance contract are “determined on an insured -by-insured basis, and subject to considerations 
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of what may or may not be payable under any particular benefit plan[.]”  Specialty Med. Equip., 
Inc. v. UnitedHealth Grp., Inc., No. 22- CV-12396, 2023 WL 143940, at *7 (E.D. Mich. Jan. 10, 
2023) (discussing Michigan law); see Abira Med. Labs., LLC v. UPMC Health Plan Inc., No. 24-
cv-0227, 2025 WL 3068734, at *7 (E.D. Pa.  Nov. 3, 2025) (same).   
“Every contract imposes an implied duty of good faith and fair dealing in its performance 
and enforcement.”  Lucarell v. Nationwide Mut. Ins. Co., 152 Ohio St. 3d 453, 463, 97 N.E.3d 
458, 469 (2018).  Further, because a claim for breach of the implied duty of good faith and fair 
dealing relies on the underlying contract, it would fail without a binding contract.  Pell v. Durnell’s 
RV Sales, Inc., No. 2:19-CV-2247, 2020 WL 13499488 at *9 (S.D. Ohio Mar. 24, 2020). 
Under Ohio law, t he same elements of a contract apply to an assignment of contractual 
rights, since the “assignment of contract rights is, itself, a contract.”  Mid Am. Constr., LLC v. 
Univ. of Akron, No. 18AP-846, 2019 WL 4667581, at *15 (Ohio Ct. App. Sept. 24, 2019).  Thus, 
the assignment cannot stand without the contractual elements first being met.  See id.   If the 
elements of a contract are met, those contract rights may be assigned  freely, absent an exception.  
Blue Ash Auto Body, Inc. v. State Farm Mut. Auto. Ins. Co., No. 1:20-CV-393, 2021 WL 916627, 
at *2 (S.D. Ohio Mar. 10, 2021), aff’d, No. 21-3365, 2021 WL 5755632 (6th Cir. Dec. 3, 2021)  
(citing Pilkington N. Am., Inc. v. Travelers Cas. & Sur. Co., 112 Ohio St. 3d 482, 486, 861 N.E.2d 
121, 126 (2006)). 
 Plaintiff alleges that Defendant’s insureds had certain rights to receive benefit payments 
from Defendant for some medical treatment and services.  See Doc. No. 52 at PageID 823.  The 
insureds’ policies or health plans designated which treatment or services were covered by the 
policies and, pursuant to those designations, either provided or declined to provide  benefits 
payments to insureds.  Id.   Plaintiff alleges that w hen Defendant’s insureds needed the medical 
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services Plaintiff offers, the y assigned to Plaintiff their rights to receive benefit payments from 
Defendant.  Doc. No. 52 at PageID 829.  This occurred, according to Plaintiff, through requisitions 
the insureds signed, containing the following language: 
• “I hereby assign all rights and benefits under my health plan and direct 
payments to be made to Genesis Diagnostics or its assigned affiliates for 
laboratory services furnished to me by Genesis Diagnostics. I irrevocably 
designate authorize and appoints Genesis Diagnostics or its assigned 
affiliates as my true and lawful attorney -in-fact for the purpose of 
submitting my claims and pursuing any request disclosure appeal litigation 
or other remedies in accordance with the benefits and rights under my health 
plan in accordance with any federal or state laws.”  Doc. No. 59-1 at PageID 
1001, 1003, 1005, 1009, 1012, 1014, 1016, 1017, 1019, 1021, 1022, 1027, 
1031, 1033, 1037, 1040, 1043, 1047, 1051, 1054. 
 
• “I hereby authorize my insurance benefits to be paid directly to Genesis for 
services I received.”  Id. at PageID 923, 925, 927, 930, 933, 936, 937, 939, 
941, 943, 945, 947, 950, 953, 957, 986. 
 
• “I hereby authorize my insurance benefits to be paid directly to Genesis 
Diagnostics and authorize them to release medical information concerning 
my testing to my insurers. If applicable, I authorize Genesis to be my 
Designated Representative for purposes of appealing any denial of 
benefits.”  Id. at PageID 924, 989-93. 
 
• “I request that payment of any third party payer benefits be paid on my 
behalf to Genesis for services furnished to me by Genesis. I authorize 
Genesis to release to its agents and/or other third party payers any 
information needed to determine these benefi ts payable for related 
services.”  Id. at PageID 964, 967, 969, 971, 974, 976, 978, 980, 982, 987, 
997, 1000, 1008, 1015, 1026. 
 
The language in these  requisitions demonstrates these insureds intended to assign their 
rights to Plaintiff to receive benefit  payments that may have been due under the terms of their 
medical insurance or health plans with Defendant.  See Savedoff, 524 F.3d at 763 (“‘The intent of 
the parties is presumed to reside in the language they choose to use in their agreement.’”) (quoting 
Graham, 667 N.E.2d at  952).  Defendant also does not cite to any anti -assignment language or 
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conditions.  See Blue Ash Auto Body, Inc., 2021 WL 916627, at * 2.  Although these conclusions 
support Plaintiff’s breach claims,  Plaintiff has not shown what benefits wer e assigned, if any.   
Plaintiff has not identified any specific language from any of the identified insureds ’ insurance 
plans to confirm an insured would have been entitled, prior to any assignment, to a benefit payment 
for the services Plaintiff provided.  Instead, the record shows Plaintiff lacks such information.  See 
Doc. No. 48-1 at PageID 453 (deposition of Plaintiff’s corporate representative, during which he 
testified, “I didn’t review the CareSource plans”); see Doc. No. 52 at PageID 835 (“CareSource is 
correct that Plaintiff has not produce[d] a health plan”). 
“T]he question of whether any particular item or service is payable is ultimately determined 
on an insured -by-insured basis, subject to considerations of [the insured’ s] particular benefit 
plan[.]”  UnitedHealth Grp., 2023 WL 143940, at *7.  Given this, to survive summary judgment, 
Plaintiff needs to identify particular insureds and their insurance plans to show Defendant’s alleged 
non-payment of benefits it had assigned to Plaintiff constituted a contract breach.  Plaintiff has not 
done so.  See id.;cf. Abira Med. Labs., LLC,  2025 WL 3068734, at *7 ( “[A] reasonable jury could 
not find that the parties formed ‘an implied contract broadly requiring Defendants to pay Plaintiff, 
on a prompt basis, for all services provided to various insureds, pursuant to the terms of varying 
benefit plans,’ based on one freestanding certificate of coverage” (citation modified)).   Even 
assuming, arguendo, Defendant’s insureds’ contractual rights were assigned to Plaintiff through 
language in the requisitions, the insurance plans still may have designated no benefit payment for 
the specific service(s) Plaintiff rendered to any given insured, resulting in denial of any claims.  
See AMISUB (SFH), Inc. v. C igna Health & Life Ins. Co., 142 F. 4th 403, 409 (6th Cir. 2025) 
(“[Section] 18022 tells insurers what types  of care they must include in members ’ plans, but not 
how much they must pay providers”) (emphasis in original).  Given this contingency, and without 
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evidence of one or more specific breach es, Plaintiff’s breach -of-contract claim fails.  See  
Anderson, 477 U.S. at 248. 
B. Implied Contract 
 An implied contract is created based upon a meeting of the minds that is inferred from the 
circumstances and the conduct of the parties.  United Nat. Ins. Co. v. SST Fitness Corp., 309 F.3d 
914, 920 (6th Cir. 2002) (discussing Ohio law).  “Implied in fact contracts usually occur when a 
party provides another party with services or materials under circumstances where a payment 
typically is made for the services or materials. ”  Id. at 919 (citing Lucas v. Costantini, 13 Ohio 
App.3d 367, 369, 469 N.E.2d 927 (1983)). 
 Plaintiff also asserts that the parties formed an implied contract through their conduct and, 
therefore, even if there is no explicit contract between the parties, a contract nonetheless exists.  
Doc. No. 52 at PageID 836-37; see Doc. No. 48-1 at PageID 461 (“I mean, we’ve gotten paid from 
CareSource in the past”).   Plaintiff points to a list of electronic health care claims that Plaintiff 
submitted to Defendant.  Doc. No. 58 -1 at PageID 914- 15.  Defendant responded to Plaintiff’s 
claims requests with electronic remittance and made payments for some claims.  Doc. No s. 58-1, 
58-2.  Viewing this evid ence in the light most favorable
5 to Plaintiff as the non -moving party, 
Plaintiff does not provide  any evidence of particular insureds’ plans to demonstrate that those 
alleged insureds’ plans would result in payment to Plaintiff.  Without such evidence to demonstrate 
one or more breaches , Plaintiff’s implied contract theory cannot be substantiated.  Cf. Specialty 
Med. Equip., Inc. v. UnitedHealth Grp., Inc., No. 22- CV-12396, 2023 WL 143940, at *7 (E.D. 
Mich. Jan. 10, 2023) (“Because the question of whether any particular item or service is payable 
 
5 The Court notes that Plaintiff’s corporate representative, Alan Miller, stated in his deposition that Plaintiff 
did not submit many claims, and he  did not know which claims had been submitted from approximately 
2016 to 2019.  Doc. No. 48-1 at PageID 569. 
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is ultimately determined on an insured-by-insured basis, subject to considerations of what may or 
may not be payable under any particular benefit plan, the Court will not find an implied contract 
broadly requiring Defendants to pay Plaintiff, on a prompt basis, for all DMA [durable medical 
equipment] provided to various insureds, pursuant to the terms of varying benefit plans, based 
solely on the fact that Defendants have, in the past, paid unrelated claims for DME to presumably 
other insureds, covered by different benefit plans ”).  Since the record lacks evidence from which 
a reasonable jury could find in favor of Plaintiff as to the first element of a contract claim—that a 
binding contract exists — summary judgment is warranted on Plaintiff’s implied contract theory.   
Cf. Abira Med. Labs., LLC, 2025 WL 3068734, at *7. 
C. Quantum Meruit and Unjust Enrichment Claims 
 A quantum meruit claim is essentially an equitable claim of unjust enrichment.  See Jasar 
Recycling, Inc. v. Major Max Mgmt. Corp., No. 4:08- CV-2830, 2010 WL 395212, at *7 (N.D. 
Ohio Jan. 22, 2010) (merging unjust enrichment and quantum meruit claims) .  To establish an  
unjust enrichment claim, a plaintiff must show (1) that it conferred a benefit on the defendant; (2) 
the defendant knew of the benefit; and (3) it would be inequitable for the defendant to retain the 
benefit without payment for the value.  C ook v. Ohio Natl. Life Ins. Co., 961 F.3d 850, 858 (6th 
Cir. 2020).  Additionally, benefits conferred upon an insured are not considered benefits conferred 
upon the insurer.  Blue Ash Auto Body, Inc., 2021 WL 916627, at *4. 
 Defendant attempts to strengthen its unjust enrichment argument by submitting an affidavit 
(Doc. No. 52- 3 at PageID 849- 52) and two exhibits
6 (Doc. Nos. 58- 1, 58- 2) by corporate 
representative Alan Miller, who also previously testified via deposition (Doc. No. 48-1).  Plaintiff 
claims that this supplemental evidence shows Defendant had knowledge of the benefits being 
 
6 These two exhibits allegedly reflect a spreadsheet showing electronic transactions between the parties and 
Defendant’s additional paid data.  Doc. Nos. 58-1, 58-2. 
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conferred.  Doc. No. 52 at PageID 839 (“CareSource has knowledge of the benefit as it paid certain 
claims”).  Plaintiff, however, argues the sham affidavit rule applies , and as a result, the affidavit 
and its exhibits should be disregarded.  Doc. No. 53 at PageID 859; see Werner v. Young, No. 22-
5197, 2023 WL 639103, at *7 (6th Cir. Jan. 27, 2023) (“The sham affidavit rule prohibits a party 
from filing a post-deposition affidavit that ‘directly contradicts the nonmoving party’s prior sworn 
testimony.’”). 
 Mr. Miller testified on behalf of Defendant that he was not sure if Exhibit 2, the  
spreadsheet, reflected information from Defendant or a separate entity.  Doc. No. 48- 1 at PageID 
532 (“that’s information given back either from Change Healthcare or CareSource”).  In his 
affidavit, Mr. Miller states, “Attached hereto as Exhibit 2 is a copy of the ADC  X12N 835 
electronic remittance advice, reflecting transactions between the parties.”  Doc. No. 52-3 at PageID 
851.  While Plaintiff argues this is a sham affidavit because of Mr. Miller’s deposition testimony, 
the Court finds that this is not a sham affidavit.  Rather, the affidavit adds additional context to 
Mr. Miller’s testimony; it does not “directly contradict” his prior sworn testimony.  See Werner, 
2023 WL 639103, at *7. 
In this case, though, the record lacks evidence that Defendants benefited in any way by not 
paying Plaintiff’s claims.  Thus, even if Defendant, as an insurer, had knowledge of the benefits 
being conferred, as Plaintiff argues, Defendant was not actually conferred any benefits, as a matter 
of law, for those benefits conferred upon its insureds.  Se e Blue Ash Auto Body, Inc., 2021 WL 
916627, at *4.  Thus, a reasonable jury could not find in Plaintiff’s  favor as to its  quantum 
meruit/unjust enrichment claim, so summary judgement is GRANTED. 
IV.  Conclusion 
For the reasons stated herein, Defendant’s motion for summary judgment is GRANTED.  
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Additionally, the Court NOTES the motion for an order to show cause and for sanctions remains 
pending.   
 IT IS SO ORDERED. 
  June 16, 2026     s/Michael J. Newman  
       Hon. Michael J. Newman 
       United States District Judge 
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