Hi @Ben Wosjke ,
I don't have an environment to test with, but I'm aware that Update Rollup 2 for SCOM 2019 has had many issues.
Since you've encountered this issue in multiple environments with different configurations, your best shot might be creating a support request directly to Microsoft about this issue.
https://support.serviceshub.microsoft.com/supportforbusiness
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(If the reply was helpful please don't forget to upvote or accept as answer, thank you)
Best regards,
Leon