Opinion · District Court, D. Minnesota

In re: Group Health Plan Litigation

In re : Grp. Health Plan Litig., No. 0:23-cv-00267, UP10231185 (District Court, D. Minnesota Dec. 21, 2023)

Type
Opinion
Court
District Court, D. Minnesota
Jurisdiction
Minnesota
Date
2023-12-21
Topic
litigation

UNITED STATES DISTRICT COURT DISTRICT OF MINNESOTA In Re: Group Health Plan Litigation, Case No. 23-cv-267 (JWB/DJF) ORDER GRANTING IN PART AND DENYING IN PART MOTION TO DISMISS Bryan L. Bleichner, Esq., Chestnut Cambronne PA; and Gary M. Klinger (Milberg Coleman Bryson Phillips Grossman PLLC), Interim Co-Lead Class Counsel. Cynthia A. Bremer, Esq., and Nathan T.

Citator

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               UNITED STATES DISTRICT COURT                             
                   DISTRICT OF MINNESOTA                                


In Re: Group Health Plan Litigation,                  Case No. 23-cv-267 (JWB/DJF) 


                                      ORDER GRANTING IN PART            
                                        AND DENYING IN PART             
                                            MOTION TO DISMISS           




Bryan L. Bleichner, Esq., Chestnut Cambronne PA; and Gary M. Klinger (Milberg 
Coleman Bryson Phillips Grossman PLLC), Interim Co-Lead Class Counsel.    

Cynthia A. Bremer, Esq., and Nathan T. Boone, Esq., Ogletree, Deakins, Nash, Smoak & 
Stewart, P.C.; Elizabeth Anne Scully, Esq., and Paul G. Karlsgodt, Esq., Baker & 
Hostetler LLP, counsel for Defendant.                                     


                       INTRODUCTION                                     
   The digital era challenges many of our traditional understandings of rights, 
boundaries, and protections under the law. This lawsuit is emblematic, poised at the 
intersection of digital privacy and the proper use and sharing of online patient healthcare 
data. Plaintiffs bring this putative class action against Group Health Plan Inc. (hereinafter 
“HealthPartners”) alleging violations of the Electronic Communications Privacy Act, 
Minnesota Unfair and Deceptive Trade Practices Act, invasion of privacy, and other 
violations. Plaintiffs allege that HealthPartners intentionally and unlawfully transmitted 
personal and health information about Plaintiffs to third parties, including Meta Platforms 
Inc. (also known as “Facebook”).                                          
   HealthPartners has moved to dismiss pursuant to Federal Rule of Civil Procedure 
12(b)(6). The Court conducted a hearing on October 16, 2023. Based on the papers 

submitted to date and oral argument, the Court grants in part and denies in part Defendant 
HealthPartners’ motion to dismiss.                                        
                        BACKGROUND                                      
   HealthPartners is an integrated health care organization headquartered in 
Bloomington, Minnesota. HealthPartners provides healthcare-related services to more 
than a million patients and is the nation’s largest nonprofit health care organization. 

Plaintiffs, current patients of HealthPartners, have sued HealthPartners in a consolidated 
class action complaint. (Doc. No. 59, Consolidated Class Action Complaint (“Compl.”).)  
   At the root of this dispute is Plaintiffs’ contention that HealthPartners utilized 
Pixel Code and Conversions Application Programming Interface (“CAPI”) on its website 
servers and websites, www.healthpartners.com and www.virtuwell.com (hereinafter the 

“Website(s)”). These technologies, as alleged, surreptitiously tracked users’ interactions 
on the Websites and transmitted those interactions to Facebook. Such interactions 
include, but are not limited to, duration spent on web pages, button clicks, viewed pages, 
and typed text or phrases. This alleged tracking and transmission of data, an undisclosed 
kind of “spyware” that disclosed personally identifiable and health information along 

with Plaintiffs’ unique Facebook ID, linked their private health information to their 
specific profiles on Facebook. Allegedly, this occurred without Plaintiffs’ consent or 
knowledge, and was done for the commercial exploitation of patient confidential health 
information.                                                              
   Plaintiffs assert nine causes of action: (1) Violation of the Minnesota Health 
Records Act (
Minn. Stat. § 144.291
, et seq.); (2) Invasion of Privacy; (3) Breach of 

Implied Contract; (4) Unjust Enrichment; (5) Breach of Fiduciary Duty; (6) Breach of 
Confidence; (7) Negligence; (8) Violations of Electronic Communications Privacy Act 
(
18 U.S.C. § 2511
(1), et seq.); and (9) Violations of the Minnesota Uniform Deceptive 
Trade Practice Act (Minn. Stat. § 325D.43-48).                            
   Having carefully considered the arguments and submissions of both parties, the  
motion to dismiss Plaintiffs’ breach of fiduciary duty and breach of confidence claims is 

granted. The motion is denied as to the remaining seven claims.           
                         DISCUSSION                                     

I.   STANDARD OF REVIEW                                                 
   A dismissal under Federal Rule of Civil Procedure 12(b)(6) is proper when, even 
taking all complaint allegations as true and in the light most favorable to the non-movant, 
the claim is not legally plausible on its face. A complaint must present enough facts, if 
assumed true, to create a reasonable inference that the defendant is liable for the 
misconduct alleged. Ashcroft v. Iqbal, 
556 U.S. 662, 678
 (2009). Mere legal conclusions 
and unfounded inferences cannot prevent dismissal under Rule 12(b)(6).    
II.  ANALYSIS                                                           
   A.  Minnesota Health Records Act Claim – Count I                     

   Plaintiffs allege that HealthPartners violated the Minnesota Health Records Act 
(“MHRA”). The MHRA prohibits healthcare providers from “release[ing] a patient’s 
health records to a person” without the patient’s consent or “specific authorization in 
law.” 
Minn. Stat. § 144.293
, subd. 2. HealthPartners argues Count I must be dismissed 
because Plaintiffs have not plausibly alleged that HealthPartners disclosed their “health 
records” to a third party.                                                

   Under the MHRA, a “health record” includes:                          

   any information, whether oral or recorded in any form or medium, that 
   relates to the past, present, or future physical or mental health or condition 
   of a patient [,] the provision of healthcare of a patient [or] or the past, 
   present, or future payment for the provision of healthcare to a patient. 

Minn. Stat. § 144.291
, subd. 2(c) (emphasis added).                       
   Plaintiffs allege that they used the Websites to communicate private health 
information with healthcare providers; search for physicians; schedule appointments and 
procedures; receive and discuss medical diagnoses and treatment from healthcare 
providers; receive lab results; review medical records; review medical bills; and search 
symptoms and medical conditions relating to personal medical treatment. (Doc. No. 59, 
Compl. ¶¶ 41, 64, 85.) Plaintiffs also allege that the Websites routinely provided 
Facebook with this health information and other identifying information they had input 
into the Websites. (Id. ¶¶ 49, 71, 93.) Plaintiffs’ allegations are sufficient to plausibly 
plead that health records were released without their consent, considering the broad 
definition of health records in the statute. Cf. Doe v. Regents of Univ. of California, No. 
23-cv-00598-WHO, 
2023 WL 3316766
, at *4 (N.D. Cal. May 8, 2023) (“[The defendant] 

claims that plaintiff should have pleaded ‘[f]acts showing what specific medical 
information was entered by Plaintiff . . . [and] which of that alleged medical information 
actually was transmitted to Meta and in what form.’ . . . At the motion to dismiss stage, it 
is not necessary for plaintiff to provide more specific medical details.”). 
   HealthPartners’ motion with respect to Count I is denied.            
   B. Invasion of Privacy – Count II                                    

   Plaintiffs have also plausibly pled a claim for invasion of privacy based on 
intrusion upon seclusion. Plaintiffs state in their response to Defendant’s motion that they 
believe their claim is properly framed as one for intrusion upon seclusion. (Doc. No. 76, 
Pls.’ Mem. in Opp’n 17.) Therefore, the alternative theory of invasion of privacy (i.e., 
publication of private facts) will not be addressed here.                 

   Intrusion upon seclusion exists when someone “intentionally intrudes, physically 
or otherwise, upon the solitude or seclusion of another or his private affairs or concerns 
. . . if the intrusion would be highly offensive to a reasonable person.” Lake v. Wal–Mart 
Stores, Inc., 
582 N.W.2d 231, 233
 (Minn. 1998) (quotations omitted). Courts evaluate 
various factors when assessing whether an intrusion is offensive: the extent of the 

intrusion, the surrounding context and conduct, the motives and goals of the intruder, the 
environment of the intrusion, the invaded party’s privacy expectations, and the frequency 
and quantity of the intrusions. See Kennedy v. City of Braham, 
67 F. Supp. 3d 1020, 1035
 
(D. Minn. 2014).                                                          
   HealthPartners disputes that Plaintiffs have pled “intrusion” and “highly 
offensive” conduct. However, Plaintiffs have sufficiently alleged both. They claim 

HealthPartners deliberately integrated Facebook Pixel and CAPI into its Website and 
servers (Compl. ¶¶ 31, 110, 175), which intercepted and shared communications with 
third parties, including Facebook. (Id. ¶¶ 126, 110, 141.) At this stage, these facts are 
considered in the light most favorable to Plaintiffs and are suggestive of intentional 
intrusion by HealthPartners.                                              
   Furthermore, Plaintiffs must demonstrate that such intrusion would be highly 

offensive to a reasonable person. Plaintiffs describe the interference as intentional and 
involving sensitive health information, including communications about medical records 
and diagnoses. (Compl. ¶¶ 20, 22, 27, 31, 41, 51, 73, 95, 110, 119, 148, 150). This goes 
beyond the kind of non-descript, vanilla, browsing history that HealthPartners suggests 
Plaintiffs have pled. The case Cousin v. Sharp Healthcare supports this, where similar 

disclosures were deemed “highly offensive.” No. 22-cv-2040, 
2023 WL 4484441
, at *6 
(S.D. Cal. July 12, 2023). Thus, Plaintiffs plausibly allege HealthPartners’ actions as 
highly offensive to a reasonable person.                                  
   HealthPartners’ motion with respect to Count II is denied.           
   C. Breach of Implied Contract – Count III                            

   HealthPartners argues that Plaintiffs have not alleged sufficient facts to claim an 
implied contract existed between the Plaintiffs and HealthPartners. To state a claim for 
breach of contract under Minnesota law, a plaintiff must allege facts showing (1) that a 
contract was formed, (2) the plaintiff performed any conditions precedent, (3) the 
defendant materially breached the contract, and (4) damages. Gen. Mills Operations, LLC 
v. Five Star Custom Foods, Ltd., 703, F.3d 1104, 1107 (8th Cir. 2013). An implied-in-

fact contract is a contract inferred from the circumstances and conduct of the parties. Tri-
State Bobcat, Inc. v. FINN Corp., 
338 F. Supp. 3d 971, 982
 (D. Minn. 2018).  
   Plaintiffs assert that when they provided their private information to 
HealthPartners through their Website to receive services, “they entered into an implied 
contract” with HealthPartners by which HealthPartners “agreed to safeguard and not 
disclose their Private Information without consent.” (Compl. ¶¶ 281–82.) To support this 

allegation, Plaintiffs point to HealthPartners’ “several privacy policies that represent to 
patients and Website visitors that Defendant will keep sensitive information confidential 
and will only disclose Private Information under certain circumstances, none of which 
apply here.” (Id. ¶ 193; see also id. ¶ 194.) Plaintiffs specifically allege that 
HealthPartners’ Privacy Policy “does not permit Defendant to intercept, transmit, and/or 

disclose” their private information to third parties “for marketing purposes.” (Id. ¶ 195.) 
The Policy also acknowledges that HealthPartners “is required by law to maintain the 
confidentiality of Plaintiffs’ and Class Members’ Private Information” unless a specific 
exception applies. (Id. ¶ 196.)                                           
   Plaintiffs allege HealthPartners breached their implied contract by disclosing their 

private information “without consent to third parties like Facebook,” and because of the 
breaches, Plaintiffs “sustained damages” in the form of “the loss of the benefit of their 
bargain and diminution in value of Private Information.” (Id. ¶¶ 285–86.) Plaintiffs allege 
that their Private Information had financial value. (Compl. ¶¶ 232–35.)   
   Plaintiffs’ allegations are sufficient to state a claim. See Regents of Univ. of 
California, 
2023 WL 3316766
, at *7 (finding it “plausible that the parties entered into an 

implied contract” and that the “agreed upon terms . . . are those spelled out in the Notice 
of Privacy and Privacy Statement, providing assurances”); see also Hall v. Centerspace, 
LP, No. 22-CV-2028 (KMM/DJF), 
2023 WL 3435100
, at *7–8 (D. Minn. May 12, 2023) 
(concluding plaintiff adequately alleged damages sufficient to support a claim for breach 
of an implied contract where plaintiff “assert[ed] that the value of his PII has been 
diminished”). Arguments about whether Plaintiffs and HealthPartners had a meeting of 

the minds or debates over the value of Plaintiffs’ loss are fact disputes better left for 
summary judgment or trial.                                                
   HealthPartners’ motion with respect to Count III is denied.          
   D. Unjust Enrichment – Count IV                                      

   To state a claim for unjust enrichment, a plaintiff must allege facts showing “(1) a 
benefit conferred; (2) the defendant’s appreciation and knowing acceptance of the 
benefit; and (3) the defendant’s acceptance and retention of the benefit under such 
circumstances that it would be inequitable for him to retain it without paying for it.” 
Christensen L. Off., PLLC v. Ngouambe, No. A17-1917, 
2018 WL 2293423
, at *6 (Minn. 
App. May 21, 2018).                                                       

   Plaintiffs allege they “conferred a benefit upon Defendant in the form of Private 
Information that Defendant collected from Plaintiffs and Class Members, without 
authorization and proper compensation.” (Compl. ¶ 290.) They allege HealthPartners 
“consciously collected and used this information for its own gain,” and “unjustly retained 
those benefits . . . without providing any commensurate compensation to Plaintiffs and 
Class Members.” (Id. ¶¶ 290–91.) Additionally, they allege it would be “inequitable” to 

permit HealthPartners to retain “any of the profit or other benefits wrongly derived from 
the unfair and unconscionable methods, acts, and trade practices alleged in this 
Complaint.” (Id. ¶ 292.)                                                  
   HealthPartners argues that Plaintiffs’ allegations are conclusory and that the 
Website Privacy Policy forecloses Plaintiffs’ unjust enrichment claim, citing Cleveland v. 
Whirlpool Corp., 
550 F. Supp. 3d 660
, 671 (D. Minn. 2021). In Cleveland, the court 

ultimately concluded that the claim for unjust enrichment failed because there was “no 
dispute that a written contract governs the at-issue conduct.” 
Id.
 There, the written 
contract was in the form of an express warranty, and its existence was undisputed. Here, 
there is no similar express warranty. Plaintiffs do not allege that the Privacy Policy was 
an express written contract governing the conduct at issue; instead, Plaintiffs assert the 

Privacy Policy is indicative of the implied contract between the parties.  
   Viewing the Complaint and factual allegations in the light most favorable to 
Plaintiffs, Plaintiffs have sufficiently pled facts supporting each element of an unjust 
enrichment claim. HealthPartners’ motion with respect to Count IV is denied. 
   E. Breach of Fiduciary Duty – Count V                                

   HealthPartners argues that Plaintiffs’ claim for breach of fiduciary duty should be 
dismissed because there was no fiduciary relationship between HealthPartners and 
Plaintiffs when Plaintiffs accessed the Websites. Plaintiffs, conversely, assert it is 
“axiomatic that the handling of sensitive patient information involves a fiduciary duty for 
a health care provider.” (Doc. No. 76 at 27–28.)                          

   The existence of a legal duty is for the court to determine as a matter of law. 
Larson v. Larson, 
373 N.W.2d 287, 289
 (Minn. 1985). A fiduciary relationship may be 
created when one party places its confidence in a second party, which obtains superiority 
and influence over the first party. Vacinek v. First Nat’l Bank, 
416 N.W.2d 795, 799
 
(Minn. App. 1987) (citing Stark v. Equitable Life Assurance Soc’y, 
285 N.W. 466, 470
 
(Minn. 1939)). The relationship between the parties can be legal, moral, social, domestic, 

or personal. 
Id.
                                                          
   Plaintiffs allege that HealthPartners “became a fiduciary by its undertaking and 
guardianship” of Plaintiffs’ private information, and that it had a fiduciary duty “to keep 
private and not disclose” the private information of its patients. (Compl. ¶¶ 295–96.) 
However, under Minnesota common law physicians or hospital staff members do not 

have a fiduciary duty toward their patients. See Hemmerlin-Stewart v. Allina Hosps. & 
Clinics, No. A05-100, 
2005 WL 2143691
, at *3 (Minn. App. Sept. 6, 2005). Nor is there 
Minnesota caselaw holding that hospitals or health care providers in general have a 
fiduciary duty to keep patient information entered through its websites private. The 
MHRA (or HIPAA) do not create a fiduciary duty on health care providers either, 

because a fiduciary duty is not expressly present. See 
Minn. Stat. § 144.293
, subd. 2; see 
also Adams v. Eureka Fire Prot. Dist., 
352 F. App’x 137, 139
 (8th Cir. 2009) (stating 
HIPAA does not create a private right); Reed v. Highlands of Edinburgh Sixth Ass’n, No. 
A19-1345, 
2020 WL 3042109
, at *7 (Minn. App. June 8, 2020) (rejecting breach of 
fiduciary duty claim based on Minnesota statute that did not discuss the fiduciary duties 
owed).                                                                    

   Plaintiffs’ reliance on Tucker v. Marietta Area Health Care, Inc., No. 2:22-CV-
184, 2023 WL423504, at *6 (S.D. Ohio Jan. 26, 2023), where a court found that medical 
providers in Ohio hold a fiduciary duty to keep patients’ medical information 
confidential, is not persuasive. That case is from outside this district and not precedential. 
Law will not be borrowed from another state to create a fiduciary duty that Minnesota has 
yet to recognize. See Ashley Cnty. Ark. v. Pfizer, Inc., 
552 F.3d 659, 673
 (8th Cir. 2009) 

(“[I]t is not the role of a federal court to expand state law in ways not foreshadowed by 
state precedent.”) (quotations omitted).                                  
   HealthPartners’ motion to dismiss with respect to Count V is granted. 
   F.  Breach of Confidence – Count VI                                  

   Plaintiffs assert a general “breach of confidence” claim against HealthPartners, 
based on HealthPartners’ alleged disclosure of Plaintiffs’ private medical information. 
HealthPartners asserts this claim should be dismissed because Minnesota has not 
recognized this cause of action.                                          
   Plaintiffs cite two cases for the proposition that Minnesota has recognized a cause 
of action for breach of confidence. Neither case gets them there.         

    In the first case, Mahoney & Hagberg v. Newgard, 
729 N.W.2d 302, 309
 (Minn. 
2007), the issue was whether the defendant had absolute privilege. The court found the 
“breach of confidence” claim sounded in defamation, and concluded the absolute 
privilege barred the claim. There, (1) the “breach of confidence” claim was not the type 
of “breach of confidence” claim alleged here; and (2) the Minnesota Supreme Court did 
not recognize a “breach of confidence” claim as a legitimate cause of action.  

   Plaintiffs’ other cited case—Goldberg v. Medtronic, Inc., 
686 F.2d 1219, 1227
 
(7th Cir. 1982)—also does not support finding that Minnesota has recognized a “breach 
of confidence” cause of action. The Seventh Circuit, applying Minnesota law, looked to 
Cherne Industrial, Inc. v. Grounds & Associates, Inc., 
278 N.W.2d 81
 (Minn. 1979), an 
employment case, for an analogous claim. 
Id.
 However, Cherne involved a breach of an 
employment contract’s covenant not to compete and misappropriation of trade secrets. 

While confidential customer information was at issue, the claims were analyzed under 
causes of action based on contractually created duties, not under a general “breach of 
confidence” claim.                                                        
    Neither of the cases Plaintiffs rely on demonstrate Minnesota courts have 
affirmatively recognized a common law “breach of confidence” claim of the sort alleged 

here. Accordingly, Plaintiffs’ breach of confidence claim is dismissed with prejudice.  
   G. Negligence – Count VII                                            

   Plaintiffs claim common law negligence against HealthPartners, which requires 
pleading the following elements: the existence of a duty of care, breach, an injury, and 
breach of the duty as the proximate cause of the injury. See Lubbers v. Anderson, 
539 N.W.2d 398, 401
 (Minn. 1995). They also assert negligence per se, alleging that in failing 
to keep patient information confidential HealthPartners deviated from the standard of 
care established by the Minnesota Patients’ Bill of Rights and the Minnesota Health 
Records Act. (Doc. No. 67, Def.’s Mem. 28); see, e.g., Scott v. Indep. Sch. Dist. No. 709, 
Duluth, 
256 N.W.2d 485, 488
 (Minn. 1977). HealthPartners counters by asserting that the 
browsing metadata at issue are not confidential medical records and challenging the 

foreseeability of injury. Plaintiffs, however, have sufficiently alleged HealthPartners’ 
breach in protecting private communications and health data (Compl. ¶¶ 36–37, 41–42, 
49, 64–65, 71, 80, 85, 93, 184–191), and the foreseeability of harm. (Compl. ¶¶ 234, 
274.)                                                                     
   In addition, Plaintiffs have alleged loss of privacy, mental anguish, diminished 
value of private information, and other forms of harm. (See Compl. ¶¶ 56–57, 77–78, 

100–01, 324.) The forms of damages sought by Plaintiffs are cognizable. See Hall, 
2023 WL 3435100
, at *8 (stating the court was not persuaded that the forms of damages—
diminished value of personal identifying information, anxiety, sleep disruption, stress, 
fear, or frustration—were foreclosed under Minnesota law).                
   Thus, Plaintiffs’ allegations are sufficient, and HealthPartners’ motion with 

respect to Count VII is denied.                                           
   H. Violation of Electronic Communications Privacy Act – Count VIII   

   Plaintiffs allege HealthPartners violated the Electronic Communications Privacy 
Act (otherwise known as the Wiretap Act) by intentionally (1) intercepting; 
(2) disclosing; and (3) using, or endeavoring to use, the contents of Plaintiffs’ electronic 
communications, knowing they were obtained in violation of the Wiretap Act. The 
Wiretap Act prohibits the unauthorized interception of electronic communication and the 
intentional disclosure or use of the contents of an intercepted communication. 
18 U.S.C. § 2511
(1)(a), (c), (d). Section 2511(2)(d) of the statute provides a “party exception” when 
the person intercepting a communication “is a party to the communication or where one 
of the parties to the communication has given prior consent to such interception.” This 

“party exception” does not apply, however, if the “communication is intercepted for the 
purpose of committing any criminal or tortious act in violation of the Constitution or laws 
of the United States or of any State”—known as the “criminal or tortious exception” or 
the “crime-tort exception.” 
18 U.S.C. § 2511
(2)(d).                       
        (i)  Intercepting Contents of Communication                     
   HealthPartners argues Plaintiffs cannot show that an unlawful interception 

occurred or that the contents of a communication was intercepted. “Intercept” is defined 
under the Wiretap Act as “the aural or other acquisition of the contents of any wire, 
electronic, or oral communication through the use of any electronic, mechanical, or other 
device.” 
18 U.S.C. § 2510
(4). Here, Plaintiffs have plausibly pled that an interception 
occurred. They allege that whenever they interacted with HealthPartners’ Websites, 

HealthPartners, through the Pixel imbedded in and run on the Websites,    
“contemporaneously and intentionally” redirected and disclosed the contents of 
Plaintiffs’ electronic communications to third parties. (Compl. ¶¶ 334, 336.) This is 
sufficient to allege interception at this stage. See United States v. Szymuszkiewicz, 
622 F.3d 701
, 703–04 (7th Cir. 2010) (holding defendant had intercepted communications 

when copies of e-mails were sent contemporaneously with the original e-mail); In re 
Pharmatrak, Inc. Privacy Litig., 
329 F.3d 9
, 22 (1st Cir. 2003) (finding an interception 
occurred because the communication and the interception were contemporaneous).  
   Plaintiffs have also adequately pled that “content” was transferred. The Wiretap 
Act broadly defines “content” to include “any information concerning the substance, 

purport, or meaning of [a] communication.” 
18 U.S.C. § 2510
(8). With respect to URL 
data, courts have concluded that a URL with only basic identification and address 
information is not content. However, a URL that discloses a “search term or similar 
communication made by the user” can be considered a communication under the statute. 
Doe v. Meta Platforms, Inc., No. 22-cv-03580-WHO, 
2023 WL 5837443
, at *3 (N.D. 
Cal. Sept. 7, 2023) (quoting In re Zynga Priv. Litig., 
750 F.3d 1098
, 1108–09 (9th Cir. 

2014)). Plaintiffs allege the communications intercepted included content regarding 
Plaintiffs’ private information, including “symptoms, medical conditions, physician 
lookup, treatment, medication, and scheduling.” (Compl. ¶ 337; see also id. ¶¶ 21, 140, 
147, 184–91.) This is sufficient to allege covered “content” was transmitted.  
        (ii)  Exceptions                                                

   HealthPartners contends that because it was the intended recipient of the 
communication from Plaintiffs, it was a party to those communications and cannot be 
liable under the Wiretap Act for its alleged interception of the communications. Plaintiffs 
contend that because the disclosure was through a simultaneous duplication of the 
communication, HealthPartners should not be exempt from liability under the party 

exception. Plaintiffs further contend that even if the party exception did apply, 
HealthPartners would be precluded from invoking the exception because its conduct falls 
within the “criminal or tortious exception” to the party exception.       
   The Eighth Circuit has not addressed the question of whether an intended recipient 
party to a communication could be held liable under the Wiretap Act when there is 

simultaneous duplication and forwarding of information to a third party, or whether the 
intended recipient still falls under the party exception in that circumstance. The Third and 
Ninth Circuits have weighed in on the issue, each deciding differently. The Third 
Circuit’s reasoning is most persuasive.                                   
   The Third Circuit’s focus is on whether the defendant is the intended recipient of a 
communication. If they are, then they are “necessarily one of its parties” and “have done 

nothing unlawful under the Wiretap Act,” even when they procured the conversation 
through a fraud in the inducement or through deceit. In re Google Inc. Cookie Placement 
Consumer Priv. Litig., 
806 F.3d 125
, 142–43 (3d Cir. 2015); see also Kurowski v. Rush 
System for Health, No. 22 C 5380, 
2023 WL 2349606
, at *3–4 (N.D. Ill. Mar. 3, 2023) 
(following the Third Circuit’s reasoning and applying the party exception). The Third 

Circuit examined the Wiretap Act’s history and considered the Sixth and Fifth Circuits’ 
interpretation of that history, and concluded that having no language in the statute “by 
which the defendants’ various alleged deceits would vitiate their claims to be parties to 
the relevant communications” was by design. In re Google Inc., 
806 F.3d at 144
. The 
Ninth Circuit’s view—finding that an entity’s simultaneous, unknown duplication and 

forwarding of communications made to a web page’s server does not qualify for the party 
exemption—is not supported by the very cases it found persuasive. See Kurowski, 
2023 WL 2349606
, at *4 (finding the First and Seventh Circuit cases relied upon by the Ninth 
Circuit in In re Facebook, Inc. Internet Tracking Litig., 
956 F.3d 589, 608
 (9th Cir. 
2020), unpersuasive). The First and Seventh Circuit cases relied on by the Ninth Circuit 
focused on the interception of the communication at issue, not on the intended recipient 

of the communication. The plain language of the statute indicates that the party exception 
applies to the party who was the intended recipient of the communication. Here, it 
indisputably was HealthPartners that was the intended recipient of the communications. 
HealthPartners is therefore a party to those communications and cannot be liable under 
the Wiretap Act for its alleged interception of them—unless the “criminal and tortious” 
exception to the party exception applies.                                 

   The party exception does not apply where the interceptor acts “for the purpose of” 
committing any crime or tort in violation of state or federal law. 
18 U.S.C. § 2511
(2)(d). 
The crime-tort exception therefore focuses on whether “the purpose for the 
interception—its intended use—was criminal or tortious.” In re Meta Pixel Healthcare 
Litig., 
647 F. Supp. 3d 778
, 796 (N.D. Cal. 2022) (emphasis in original) (quoting 

Sussman v. Am. Broad. Companies, Inc., 
186 F.3d 1200, 1202
 (9th Cir. 1999)). “The 
existence of a lawful purpose does not sanitize an interception that was also made for an 
illegitimate purpose.” 
Id.
 For Plaintiffs’ Wiretap Act claim to survive a motion to 
dismiss, they must allege that either the “primary motivation or a determining factor in 
[HealthPartners’] actions has been to injure [P]laintiffs tortiously.” Brown v. Google 

LLC, 
525 F. Supp. 3d 1049
, 1067 (N.D. Cal. 2021) (quotations and citation omitted). 
   HealthPartners contends that Plaintiffs have not pled facts showing that it 
intercepted any alleged communication for the purpose of committing a tortious or 
criminal act, and that any allegations in this regard by Plaintiffs are conclusory. Not so. 
Plaintiffs allege the primary motivation in HealthPartners’ interception and disclosure 
was to commit wrongful and tortious acts, “namely, the use of patient data for advertising 

in the absence of express written consent,” and the use “for marketing and revenue 
generation was in violation of HIPAA and an invasion of privacy.” (Compl. ¶ 228; see 
also 
id. ¶ 340
 (alleging HealthPartners used the communications “for its own business 
purposes . . . for its own gain”).) Plaintiffs also allege that HealthPartners “would not 
have been able to obtain the information or the marketing services if it had complied with 
the law.” (Id. ¶ 359.) Plaintiffs specifically list the various laws they allege 

HealthPartners purposefully violated and then continue for multiple paragraphs 
explaining how these laws were violated. (See Compl. ¶¶ 347–57 (listing HIPAA, 
Minnesota’s Unauthorized Computer Access statute, Minnesota’s Patient’s Bill of Rights, 
MHRA, Minnesota Unfair Deceptive Trade Practices Act, and Invasion of Privacy).) 
   As previously explained, Plaintiffs’ claims for invasion of privacy and violations 

of the MHRA are viable claims. And, unlike the other districts HealthPartners cites to, 
this district has not found that the crime-tort exception to the Wiretap Act is inapplicable 
where the defendant’s primary motivation was to make money. Cf. In re Meta Pixel 
Healthcare Litig., 647 F. Supp. 3d at 796–97 (citing cases from the Ninth Circuit and the 
Northern District of California). “There is a not-insignificant chance, then, that plaintiffs 

may be able to show that the crime-tort exception applies.” 
Id.
 at 797 (citing Brown, 525 
F. Supp. 3d at 1067) (finding the crime-tort exception may apply where plaintiffs 
“adequately alleged that Google’s association of their data with preexisting user profiles 
violated state law, including . . . intrusion upon seclusion, and invasion of privacy”)).  
   This case is at the pleading stage. While Plaintiffs have alleged HealthPartners’ 
motivations, determination of HealthPartners’ actual purpose for installing and using the 

Pixel Code requires a factual undertaking. Plaintiffs, without the benefit of discovery, 
have met the pleading requirements to plausibly allege the crime-tort exception applies. 
Therefore, the Wiretap Act claim moves forward.                           
   I.  Minnesota Uniform Deceptive Trade Practices Act – Count IX       
   Plaintiffs’ final claim in their Complaint is for violation of the Minnesota Unfair 
and Deceptive Trade Practices Act (“MUDTPA”). The MUDTPA describes conduct that 

constitutes deceptive trade practices, including “caus[ing] likelihood of confusion or of 
misunderstanding as to . . . certification of goods or services,” “engag[ing] in (i) unfair 
methods of competition, or (ii) unfair or unconscionable acts or practices,” and 
“engag[ing] in any other conduct which similarly creates a likelihood of confusion or 
misunderstanding.” Minn. Stat. § 325D.44, subd. 1(2), (13), (14).         

    HealthPartners argues that Plaintiffs’ MUDTPA claim fails to satisfy the 
heightened pleading standards of Federal Rule of Civil Procedure 9(b), with respect to the 
alleged “fraud” and any future damages.                                   
   Rule 9(b) provides that “[i]n alleging fraud or mistake, a party must state with 
particularity the circumstances constituting fraud or mistake.” Fed. Rule. Civ. P. 9(b). 

MUDTPA claims are subject to this heightened pleading standard, and therefore must 
contain “factual allegations explaining the who, what, when, where and how,” of the 
allegedly deceptive conduct. E–Shops Corp. v. U.S. Bank Nat’l Ass’n, 
678 F.3d 659
, 
665–66 (8th Cir. 2012). However, a complaint need not be filled with precise detail to 
satisfy Rule 9(b); a main purpose of the rule is to “facilitate a defendant’s ability to 
respond and to prepare a defense to charges of fraud.” Commercial Prop. Invs., Inc. v. 

Quality Inns Int’l, Inc., 
61 F.3d 639, 644
 (8th Cir. 1995). The level of particularity 
required depends on the nature of the case. BJC Health Sys. v. Columbia Cas. Co., 
478 F.3d 908, 917
 (8th Cir. 2007).                                            
   The Complaint identifies with adequate particularity the fraudulent conduct. 
Plaintiffs allege that HealthPartners:                                    

   (1) promis[ed] to protect Plaintiffs’ and Class Members’ Private     
   Information via its Privacy Policies and then, in fact, knowingly,   
   transmit[ed] Plaintiffs’ and Class Members’ Private Information to third 
   parties, such as Facebook; (2) unlawfully disclos[ed] Plaintiffs’ and Class 
   Members’ Private Information to Facebook; (3) fail[ed] to disclose or 
   omit[ed] material facts that the Plaintiffs’ and Class Members’ Private 
   Information would be disclosed to third parties; (4) fail[ed] to obtain 
   Plaintiffs’ and Class Members’ consent in transmitting Plaintiffs’ and Class 
   Members’ Private Information to Facebook; and (5) knowingly violat[ed] 
   industry and legal standards regarding the protection of Plaintiffs’ and 
   Class Members’ Private Information.                                  

(Compl. ¶ 366; see also 
id.
 ¶¶ 192–97.) The Complaint provides the years that each 
named Plaintiff began using HealthPartners’ Website and includes examples of nine 
specific dates that HealthPartners’ Pixel transmitted one of the named Plaintiffs’ 
communications to Facebook. (Id. ¶¶ 38, 61, 82, 189.) Plaintiffs also allege that 
HealthPartners’ actions constitute “deceptive and unfair acts or practices because 
Defendant knew its Website contained the Pixel and CAPI and also knew the Pixel and 
CAPI would be unknown and/or not easily discoverable by Plaintiffs and Class 
Members.” (Id. ¶ 367; see also id. ¶¶ 22, 31, 51, 141 (stating that HealthPartners installed 
the Pixel and CAPI to “secretly track patients”). Plaintiffs’ allegations contain 
information indicating the who, what, when, where, and how of the alleged fraud, and are 
sufficient to allow HealthPartners to understand what is alleged and respond. See 

McGregor v. Uponor, Inc., No. CIV 09-1136 (ADM/JJK), 
2010 WL 55985
, at *4 (D. 
Minn. Jan. 4, 2010) (finding allegations sufficient and stating that “a plaintiff is not 
required to plead the exact dates on which misrepresentations were made”). Plaintiffs’ 
allegations in support of the MUDTPA claim are in compliance with Rule 9(b). 
   HealthPartners also contends Plaintiffs’ MUDTPA claim must be dismissed 
because there are no allegations of future or prospective damages. This is not correct. 

Plaintiffs do allege future harms. They allege that because of HealthPartners’ conduct, 
Plaintiffs face “the continued and ongoing risk to their Private Information.” (Compl. 
¶ 34.) And, as to each Plaintiff, they allege that they will suffer “the continued and 
ongoing risk of harassment, spam, and targeted advertisements specific to [their] medical 
conditions and other confidential information [they] communicated to Defendant via the 

Website.” (Id. ¶¶ 56, 77, 100.)                                           
   Thus, Plaintiffs’ MUDTPA allegations are sufficient, and HealthPartners’ motion 
with respect to Count IX is denied.                                       
                           ORDER                                        
   IT IS HEREBY ORDERED that:                                           

   1.   Defendant HealthPartners’ Motion to Dismiss Under Fed. R. Civ. P.  
12(b)(6) (Doc. No. 65) is GRANTED IN PART and DENIED IN PART. Counts V    
(breach of fiduciary duty) and VI (breach of confidence) of the Consolidated Class 
Action Complaint are DISMISSED WITH PREJUDICE. The motion is otherwise    
denied.                                                                   


Date:  December 21, 2023           s/ Jerry W. Blackwell                  
                                 JERRY W. BLACKWELL                     
                                 United States District Judge