Government Employees Insurance Company v. Clarke

CourtDistrict Court, E.D. New York
DecidedMay 23, 2024
Docket1:23-cv-04605
StatusUnknown

This text of Government Employees Insurance Company v. Clarke (Government Employees Insurance Company v. Clarke) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Government Employees Insurance Company v. Clarke, (E.D.N.Y. 2024).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK ------------------------------------------------x GOVERNMENT EMPLOYEES INSURANCE COMPANY, GEICO INDEMNITY COMPANY, MEMORANDUM AND ORDER GEICO GENERAL INSURANCE COMPANY, and Case No. 1:23-CV-04605 (FB) (SJB) GEICO CASUALTY COMPANY,

Plaintiffs,

-against-

COLIN CLARKE, M.D., COLIN CLARKE MD P.C., SVETLANA KOVALEVA a/k/a MELANA KAY, MEDICAL EVALUATION SERVICES & BILLING, INC., MEDICAL CONSULTATION SERVICES & BILLING, INC., and JOHN DOE DEFENDANTS 1-10,

Defendants. ------------------------------------------------x Appearances: For the Plaintiffs: For the Defendants Colin Clarke BARRY I. LEVY M.D., P.C., Colin Clarke, M.D.: MICHAEL A. SIRIGNANO WESLEY MEAD STEVEN HENESY The Mead Law Firm, P.C. ALLISON STAPLETON 3033 Brighton 3rd St. Rivkin Radler LLP Brooklyn, NY 11235 926 RXR Plz. Uniondale, NY 11556

BLOCK, Senior District Judge: Plaintiffs (collectively “GEICO”) bring this action against Defendants Colin Clarke, M.D., Colin Clarke MD, P.C. (together, the “Clarke Defendants”), Svetlana Kovaleva a/k/a Melana Kay, Medical Evaluation Services & Billing, Inc., Medical Consultation Services & Billing, Inc., and John Doe Defendants 1-10

(collectively “Defendants”). Geico alleges that Defendants committed civil RICO violations, engaged in common law fraud, and have been unjustly enriched through their actions. Additionally, GEICO seeks a declaratory judgment that the Clarke

Defendants have no right to receive payment for any pending bills submitted to GEICO. GEICO now moves for a preliminary injunction to: (1) stay all pending no- fault insurance collection arbitrations commenced against GEICO by or on behalf

of the personal tax identification number of Defendant Colin Clarke, M.D., pending disposition of GEICO’s claims in this action; and (2) enjoin the Clarke Defendants, and anyone acting or purporting to act on their behalf, from

commencing any further no-fault insurance collection arbitrations or new no-fault collection litigation against GEICO, pending disposition of this action. For the following reasons, GEICO’s motion is granted. I. PRELIMINARY INJUNCTION

This Court has already addressed a series factually similar cases where GEICO sought — and was granted — the same relief. See Gov’t Emps. Ins. Co. v. Moshe, No. 1:20-CV-1098-FB-RER, 2020 WL 3503176 (E.D.N.Y. June 29, 2020);

Gov’t Emps. Ins. Co. v. Zilberman, No. 1:20-CV-00209-FB-RML, 2021 WL 1146086 (E.D.N.Y. Mar. 25, 2021); Gov’t Emps. Ins. Co. v. Zaitsev, No. 1:20-CV- 03495-FB-SJB, 2021 WL 3173171 (E.D.N.Y. July 27, 2021). Other judges in the

Eastern District of New York have also issued preliminary injunctions when confronted with substantially similar circumstances. See, e.g., State Farm Mut. Auto. Ins. Co. v. Parisien, 352 F. Supp. 3d 215 (E.D.N.Y. 2018) (Glasser, J.);

Gov’t Emps. Ins. Co. v. Cean, No. 1:19-CV-2363-PKC-SMG, 2019 WL 6253804 (E.D.N.Y. Nov. 22, 2019) (Chen, J.); Gov’t Emps. Ins. Co. v. Wellmart RX, Inc., 435 F. Supp. 3d 443 (E.D.N.Y. 2020) (Matsumoto, J.); Gov’t Emps. Ins. Co. v. Tenenbaum, No. 22-CV-4543 (ARR) (PK), 2023 WL 2734744, at *3 (E.D.N.Y.

Mar. 31, 2023) (Ross, J.); State Farm Mut. Auto. Ins. Co. v. Eclipse Med. Imaging, P.C., No. 1:23-CV-3124 (OEM) (RML), 2023 WL 7222827, at *1 (E.D.N.Y. Nov. 2, 2023) (Merchant, J.). The Court can see no reason why a different result is warranted here.1

1 The Clarke Defendants’ argument that Plaintiff’s motion is prohibited by the Anti-Injunction Act has already been dealt with by other courts. See, e.g., State Farm Mut. Auto. Ins. Co. v. Eclipse Med. Imaging, P.C., No. 1. 23-CV-3124O (EM) (RML), 2023 WL 7222827, at *11 (E.D.N.Y. Nov. 2, 2023) (discussing “well-settled precedent” that Anti-Injunction Act does not bar courts from temporarily staying pending private arbitrations or enjoining future arbitrations or state court proceedings). As has their argument that this form of injunctive relief exceeds the Court’s authority under the All-Writs Act. See, e.g., Parisien, 352 F. Supp. 3d at 225 (“[T]he All-Writs Act provides the positive authority for federal courts to issue injunctions of state court proceedings.”). In order to justify a preliminary injunction, the movant must establish “(1) either (a) a likelihood of success on the merits or (b) sufficiently serious questions

going to the merits to make them a fair ground for litigation and a balance of hardships tipping decidedly in the movant’s favor, and (2) irreparable harm in the absence of the injunction.” Kelly v. Honeywell Int’l, Inc., 933 F.3d 173, 183-84

(2d Cir. 2019) (cleaned up). a. Irreparable Harm Irreparable harm occurs where, as here, “an insurer is required to waste time defending numerous no-fault actions when those same proceedings could be

resolved globally in a single, pending declaratory judgment action.” Parisien, 352 F. Supp. 3d at 233; see also Elzanaty, 929 F. Supp. 2d at 222 (“[T]here is a concern here with wasting time and resources in an arbitration with awards that might eventually be, at best, inconsistent with this Court’s ruling, and at worst,

essentially ineffective.”); Wellmart, 435 F. Supp. 3d at 449-50 (collecting cases). Here, the Clarke Defendants have more than 240 pending arbitrations against GEICO that present a risk of inconsistent judgments. This suffices to establish irreparable harm.2

2 The Clarke Defendants’ argument that the amendment to the AAA rules on consolidation procedure precludes irreparable harm is academic because they cite to the AAA Commercial Rules. The AAA New York No-Fault Rules have not been updated since 2013. b. Serious Question Going to the Merits GEICO must also demonstrate, at this stage, “sufficiently serious questions going to the merits to make them a fair ground for litigation and a balance of

hardships tipping decidedly” in GEICO’s favor. Parisien, 352 F. Supp. 3d at 234. As the caselaw of this district demonstrates, courts routinely find a “serious question going to the merits” under similar circumstances. id. (finding serious

question going to the merits where the complaint and exhibits alleged defendants provided unnecessary medical services); Elzanaty, 929 F. Supp. 2d at 222 (finding serious question going to the merits where complaint alleged “complicated scheme

of alleged fraudulent activity”); Zaitsev, 2021 WL 3173171, at *2 (same). The Complaint and Plaintiff’s exhibits attached to its motion provide a detailed overview of a complicated scheme in which the Clarke Defendants are alleged to have: (1) provided fraudulent healthcare services that were not medically

necessary; (2) used billing codes that misrepresented and exaggerated the level of medical services provided in order to inflate the charges submitted to plaintiffs, (3) provided fraudulent medical services pursuant to the dictates of laypersons who

were not licensed to provide healthcare services and through the use illegal kickback arrangements; (4) performed some of the alleged fraudulent healthcare services via independent contractors; and (5) manufactured a fraudulent ownership arrangement whereby the Clarke Defendants were unlawfully operated, and/or controlled by unlicensed laypersons.

These non-conclusory allegations sufficiently allege a complicated scheme of fraudulent activity satisfying GEICO’s burden of establishing a serious question going to the merits.

c. Balance of Hardships As the Court finds that there are “serious question[s] going to the merits,” it must further inquire as to whether that there is a “balance of hardships tipping decidedly” in plaintiff's favor. See Citigroup Glob. Markets, Inc. v.

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Government Employees Insurance Company v. Clarke, Counsel Stack Legal Research, https://law.counselstack.com/opinion/government-employees-insurance-company-v-clarke-nyed-2024.