GOVERNMENT EMPLOYEES INSURANCE CO. v. MOUNT PROSPECT CHIROPRACTIC CENTER, P.A.

CourtDistrict Court, D. New Jersey
DecidedDecember 13, 2024
Docket2:22-cv-00737
StatusUnknown

This text of GOVERNMENT EMPLOYEES INSURANCE CO. v. MOUNT PROSPECT CHIROPRACTIC CENTER, P.A. (GOVERNMENT EMPLOYEES INSURANCE CO. v. MOUNT PROSPECT CHIROPRACTIC CENTER, P.A.) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
GOVERNMENT EMPLOYEES INSURANCE CO. v. MOUNT PROSPECT CHIROPRACTIC CENTER, P.A., (D.N.J. 2024).

Opinion

NOT FOR PUBLICATION UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

CHAMBERS OF MARTIN LUTHER KING COURTHOUSE SUSAN D. WIGENTON 50 WALNUT ST. UNITED STATES DISTRICT JUDGE

NEW 97A 3R -6K 45, -N 5J 9 00 37 101 December 13, 2024

Yonatan Bernstein Rivkin Radler LLP 926 RXR Plaza Uniondale, NY 11553 Attorney for Plaintiffs

Gene Y. Kang Rivkin Radler LLP 25 Main Street, Suite 501 Court Plaza North Hackensack, NJ 07601 Attorney for Plaintiffs

Keith J. Roberts Shannon M. Carroll Susan L. Schulman Brach Eichler LLC 101 Eisenhower Parkway Roseland, NJ 07068 Attorneys for Defendants Mount Prospect Chiropractic Center, P.A. and Terry McSweeney, D.C.

Damian P. Conforti Peter Sepulveda Andrew Gimigliano Brian Matthew Block Mohamed Nabulsi Mandelbaum Barrett PC 3 Becker Farm Road, Suite 105 Roseland, NJ 07068 Attorneys for Defendants Hassan Medical Pain Relief and Wellness Center LLC and Shady Hassan, M.D. LETTER OPINION FILED WITH THE CLERK OF THE COURT

Re: Government Employees Insurance Co., et al. v. Mount Prospect Chiropractic Center, P.A., et al. Civil Action No. 22-737 (SDW) (JSA)

Counsel:

Before this Court are Plaintiffs Government Employees Insurance Co., GEICO Indemnity Co., GEICO General Insurance Company, and GEICO Casualty Co.’s (together “GEICO”) motion to reopen this case as to Defendants Mount Prospect Chiropractic Center, P.A. and Terry McSweeney, D.C. (together the “Mount Prospect Defendants”) (D.E. 96) and the Mount Prospect Defendants’ motion to compel arbitration (D.E. 99 (the “Motion”)). For the reasons stated herein, GEICO’s motion is GRANTED IN PART, and the Mount Prospect Defendants’ Motion is GRANTED.

BACKGROUND & PROCEDURAL HISTORY

The parties are presumed to be familiar with this case and may refer to the opinion by former District Judge John Michael Vazquez dated February 17, 2023 for a more detailed summary of the background. (D.E. 56.) In short, GEICO initiated this lawsuit against Hassan Medical Pain Relief and Wellness Center LLC, Shady Hassan, M.D. (together the “Hassan Defendants”), and the Mount Prospect Defendants for submitting fraudulent insurance charges to GEICO. (D.E. 1 ¶ 1.) GEICO sought a declaratory judgment and damages, alleging that Defendants violated the New Jersey Insurance Fraud Prevention Act (“IFPA”), committed common law fraud, and were unjustly enriched. (Id. ¶¶ 471–79, 487–503, 511–23.) GEICO also alleged that Defendants McSweeney and Hassan violated the Racketeer Influenced and Corrupt Organizations Act (“RICO”). (Id. ¶¶ 480–86; 504–10.) The Mount Prospect Defendants answered the complaint on May 16, 2022 (D.E. 16), and the Hassan Defendants answered on July 29, 2022 (D.E. 24).

The Hassan Defendants moved to compel arbitration on September 21, 2022 pursuant to both the Federal Arbitration Act, 9 U.S.C. § 1 et seq. (“FAA”) and N.J. Stat. Ann. § 39:6A-5.1(a) (“No Fault Law”). (D.E. 33.) That motion was initially granted in part and denied in part. (D.E. 56.) It was granted with respect to the non-IFPA claims pursuant to the FAA. (Id. at 11–14.) Those claims were arbitrable because, as required under the FAA, GEICO and the Hassan Defendants formed an arbitration agreement—GEICO’s Decision Point Review Plan and Precertification Requirements (DPRP)—out of which the claims arose. (Id.) Before arbitration was ordered as to the non-IFPA claims, however, GEICO was granted leave to amend the complaint to clarify its arguments regarding the invalidity of the arbitration agreement. (Id. at 14.) The Hassan Defendants’ motion was initially denied as to the IFPA claim on the grounds that “existing case law” exempted IFPA claims from arbitration under the FAA and the No Fault Law. (Id. at 14–17 (“[T]he weight of authority … finds that IFPA claims are not subject to arbitration under the No-Fault Laws or contractual agreements.”).) The Hassan Defendants appealed, and the Third Circuit reversed. (D.E. 93-2.) It held that the IFPA claim should be compelled to arbitration pursuant to both the FAA and the No Fault Law, and that GEICO should not have been granted leave to amend the complaint. (Id. at 11–17.) Pursuant to the Third Circuit’s decision, the Hassan Defendants’ motion to compel arbitration was granted in full on May 20, 2024, and this case was administratively terminated for arbitration. (D.E. 95.)

On May 22, 2024, GEICO moved to reopen the case with respect to the Mount Prospect Defendants, pointing out that the Mount Prospect Defendants never moved to compel arbitration. (D.E. 96 at 1.) The Mount Prospect Defendants did not oppose, but instead requested a stay of discovery (D.E. 97) and moved to compel arbitration pursuant to Federal Rules of Civil Procedure (“Rules”) 12(b)(1) and 12(b)(6) (D.E. 99). That Motion for arbitration is presently before this Court.

STANDARD OF REVIEW

“The FAA federalizes arbitration law and ‘creates a body of federal substantive law establishing and regulating the duty to honor an agreement to arbitrate[.]’” John Hancock Mut. Life Ins. Co. v. Olick, 151 F.3d 132, 136 (3d Cir. 1998) (quoting Moses H. Cone Mem’l Hosp. v. Mercury Constr. Corp., 460 U.S. 1, 25 n.32 (1983)). Courts may compel arbitration “upon being satisfied that the making of the agreement for arbitration or the failure to comply therewith is not in issue.” 9 U.S.C. § 4. Additionally, parties may “apply to a federal court for a stay of the trial of an action ‘upon any issue referable to arbitration under an agreement in writing for such arbitration.’” Rent-A-Center, W., Inc. v. Jackson, 561 U.S. 63, 68 (2010) (quoting 9 U.S.C. § 3).

When deciding a motion to compel arbitration, a court must ascertain whether “(1) a valid agreement to arbitrate exists, and (2) the particular dispute falls within the scope of that agreement.” Aetrex Worldwide, Inc. v. Sourcing for You Ltd., 555 F. App’x 153, 154 (3d Cir. 2014) (quoting Kirleis v. Dickie, McCamey & Chilcote, P.C., 560 F.3d 156, 160 (3d Cir. 2009)). To conduct this inquiry, the court shall apply “ordinary state-law principles that govern the formation of contracts.” Kirleis, 560 F.3d at 160 (quoting First Options of Chi., Inc. v. Kaplan, 514 U.S. 938, 944 (1995)).

DISCUSSION

GEICO’s claims against the Mount Prospect Defendants are similar to those against the Hassan Defendants, which have already been compelled to arbitration in full. (D.E. 56; D.E. 95.) This Court will evaluate the applicability of those prior rulings to the claims against the Mount Prospect Defendants and then assess GEICO’s objections to arbitrability. a. Applicability of Prior Rulings

For all relevant purposes, GEICO’s claims against the Hassan Defendants do not differ from those against the Mount Prospect Defendants.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
GOVERNMENT EMPLOYEES INSURANCE CO. v. MOUNT PROSPECT CHIROPRACTIC CENTER, P.A., Counsel Stack Legal Research, https://law.counselstack.com/opinion/government-employees-insurance-co-v-mount-prospect-chiropractic-center-njd-2024.