Government Employees Insurance Company v. Relief Medical, P.C.

CourtDistrict Court, E.D. New York
DecidedAugust 12, 2021
Docket1:20-cv-02165
StatusUnknown

This text of Government Employees Insurance Company v. Relief Medical, P.C. (Government Employees Insurance Company v. Relief Medical, P.C.) 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. Relief Medical, P.C., (E.D.N.Y. 2021).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK --------------------------------------------------------------- GOVERNMENT EMPLOYEES INSURANCE COMPANY, GEICO INDEMNITY COMPANY, GEICO GENERAL INSURANCE COMPANY, and GEICO CASUALTY COMPANY, MEMORANDUM & ORDER 20-CV-2165 (MKB) Plaintiffs,

v.

RELIEF MEDICAL, P.C., YURY KOYEN, M.D., DIAGNOSTIC MEDICINE, P.C., ALEKSANDR LEVIN, M.D., DAI MAI ACUPUNCTURE, P.C., IGOR MAYZENBERG, L.AC., AM CHIROPRACTIC, P.C., AMBER STREET CHIROPRACTIC, P.C., ALEXANDER MAZUROVSKY, D.C., FINE MOTOR PHYSICAL THERAPY, P.C., and JOSEPH SEDRAK,

Defendants. --------------------------------------------------------------- MARGO K. BRODIE, United States District Judge: Plaintiffs Government Employees Insurance Company (“GEICO”), GEICO Indemnity Company, GEICO General Insurance Company, and GEICO Casualty Company commenced the above-captioned action against Defendants Relief Medical, P.C., Yury Koyen, M.D., Diagnostic Medicine, P.C., Aleksandr Levin, M.D., AM Chiropractic, P.C., Amber Street Chiropractic, P.C., Alexander Mazurovsky, D.C., Fine Motor Physical Therapy, P.C., Joseph Sedrak (the “Settling Defendants”),1 Igor Mayzenberg, L.Ac., and Dai Mai Acupuncture, P.C. (the “Mayzenberg

1 On June 2, 2021, Plaintiffs advised the Court that they reached a settlement with the Settling Defendants and are “working to finalize the terms of the settlement agreements.” (Pls.’ Letter dated June 2, 2021, Docket Entry No. 49.) The Settling Defendants are scheduled to file a stipulation of dismissal on or before August 20, 2021. (Settling Defs.’ Letter dated July 20, 2021, Docket Entry No. 51; Order dated July 21, 2021.) Defendants”)2 on May 13, 2020. (Compl., Docket Entry No. 1.) Plaintiffs allege, inter alia, that the Mayzenberg Defendants wrongfully obtained no-fault insurance reimbursements relating to healthcare services in violation of the Racketeer Influenced and Corrupt Organizations Act, 18 U.S.C. §§ 1962(c)–(d) (“RICO”) and are liable for common law fraud and unjust enrichment,

(id. ¶¶ 1, 407–413, 454–473, 532–545), and seek damages and a declaratory judgment, (id. at 114–118). On November 9, 2020, Plaintiffs moved to (1) stay all no-fault “insurance collection arbitrations pending before the American Arbitration Association (‘AAA’) between [Plaintiffs] and . . . Defendants” and enjoin “Defendants from commencing any further [no-fault] insurance collection arbitrations against [Plaintiffs], pending the disposition of [Plaintiffs’] declaratory judgment claim” and (2) enjoin “Defendants from commencing any [no-fault] insurance collection lawsuits against [Plaintiffs], pending the disposition of [Plaintiffs’] declaratory judgment claim,” and Defendants opposed the motion.3 For the reasons set forth below, the Court grants Plaintiffs’ motion to stay proceedings.

2 Although Plaintiffs and the Settling Defendants are finalizing settlement agreements, discovery between Plaintiffs and the Mayzenberg Defendants remains ongoing. (Pls.’ Letter dated June 2, 2021; Order dated June 3, 2021.)

3 (Pls.’ Mot. to Stay (“Pls.’ Mot.”), Docket Entry No. 38; Pls.’ Mem. in Supp. of Pls.’ Mot. (“Pls.’ Mem.”) 1, annexed to Pls.’ Mot., Docket Entry No. 38-1.) The Settling Defendants and the Mayzenberg Defendants filed separate opposition papers. (Mayzenberg Defs.’ Opp’n to Pls.’ Mot. (“Defs.’ Opp’n”), Docket Entry No. 35; Settling Defs.’ Opp’n to Pls.’ Mot. (“Settling Defs.’ Opp’n”), Docket Entry No. 36.) Because the Settling Defendants are scheduled to file a stipulation of dismissal on or before August 20, 2021, (Order dated July 21, 2021), the Court construes the motion to stay as applicable to the Mayzenberg Defendants, details the facts alleged in the Complaint as they pertain to the Mayzenberg Defendants, and reviews the motion to stay based on the Mayzenberg Defendants’ opposition papers. In the event that Plaintiffs and the Settling Defendants are unable to reach a settlement, because the arguments against a stay raised by the Settling Defendants are analogous to those raised by the Mayzenberg Defendants, (see Settling Defs.’ Opp’n), the Court’s decision would also apply to the Settling Defendants. I. Background The Court assumes the truth of the factual allegations in the Complaint for the purposes of this Memorandum and Order. a. New York’s no-fault insurance scheme

Under New York’s no-fault law, automobile insurers provide mandatory coverage for certain no-fault benefits, including necessary expenses for medical treatment up to $50,000.4 N.Y. Ins. Law §§ 5102(a)(1), 5102(b), 5103. “[I]ndividuals injured in car accidents assign their statutory benefits to licensed medical professionals, who submit claims for medically ‘necessary’ treatments directly to the injured party’s insurance carriers.” United States v. Zemlyansky, 908 F.3d 1, 7 (2d Cir. 2018) (first quoting N.Y. Ins. Law § 5102; and then citing 11 N.Y. Comp. Codes R. & Regs. § 65-3.11). A regulation implementing section 5106(b) of the New York Insurance Law states that “[i]n the event any person making a claim for first-party benefits and the [insurance] [c]ompany do not agree regarding any matter relating to the claim, such person shall have the option of submitting such disagreement to arbitration.” 11 N.Y. Comp. Codes R.

& Regs. § 65-1.1(a), (d); see also Allstate Ins. Co. v. Mun, 751 F.3d 94, 97–98 (2d Cir. 2014) (quoting 11 N.Y. Comp. Codes R. & Regs. § 65-1.1(a), (d)). Plaintiffs seek damages from the Mayzenberg Defendants because they allegedly submitted claims to Plaintiffs for reimbursement of services that were, at least in some instances, not medically necessary or not ever rendered and seek to stay arbitration of no-fault collection claims. (Compl. ¶¶ 407–413, 454–473, 532–545.)

4 Because it is helpful to understand the facts of the case, the Court provides a brief overview of New York’s no-fault insurance scheme before discussing the relevant facts. See generally Allstate Ins. Co. v. Elzanaty, 916 F. Supp. 2d 273, 281–83 (E.D.N.Y. 2013) (providing a detailed overview of New York’s no-fault scheme). b. The parties Plaintiffs “are Maryland corporations with their principal places of business in Chevy Chase, Maryland” that underwrite “automobile insurance in New York” and “provide Personal Injury Protection Benefits” to automobile victims covered by Plaintiffs’ insurance policies

pursuant to New York Comprehensive Motor Vehicle Insurance Reparations Act §§ 5101 et seq. and 11 N.Y. Comp. Codes R. & Regs. §§ 65 et seq. (Id. ¶¶ 10, 24.) Dr. Koyen is a medical doctor who owns Relief Medical — a medical professional corporation — and is the primary leaseholder at “a purported medical clinic located at 265 Avenue X, Brooklyn, New York” (the “Avenue X Clinic”). (Id. ¶¶ 2, 11, 54.) Mayzenberg is a citizen of New York who is “licensed to practice acupuncture” and owns Dai Mai Acupuncture, P.C., an “acupuncture professional corporation.”5 (Id. ¶¶ 18–19.) c. The alleged fraudulent scheme Beginning in 2014, Defendants “masterminded and executed a complex fraudulent scheme wherein” Relief Medical, P.C., Diagnostic Medicine, P.C., AM Chiropractic, P.C.,

Amber Street Chiropractic, P.C., Fine Motor Physical Therapy, and Dai Mai Acupuncture, P.C. (“health corporations”) billed Plaintiffs for “millions of dollars in no-fault insurance benefits [that] they were never entitled to receive.” (Id. ¶ 42.) “Dr. Koyen headed the scheme at the Avenue X Clinic by using Relief Medical to sublease space to other healthcare providers and by paying kickbacks in exchange for the referral of automobile accident victims.” (Id.

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Government Employees Insurance Company v. Relief Medical, P.C., Counsel Stack Legal Research, https://law.counselstack.com/opinion/government-employees-insurance-company-v-relief-medical-pc-nyed-2021.