Roosevelt Road Re, Ltd. v. Subin

CourtDistrict Court, E.D. New York
DecidedJune 19, 2025
Docket1:24-cv-05033
StatusUnknown

This text of Roosevelt Road Re, Ltd. v. Subin (Roosevelt Road Re, Ltd. v. Subin) 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
Roosevelt Road Re, Ltd. v. Subin, (E.D.N.Y. 2025).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK

ROOSEVELT ROAD RE, LTD. and TRADESMAN PROGRAM MANAGERS, MEMORANDUM & ORDER LLC, 24-CV-05033 (HG)

Plaintiffs,

v.

HERBERT S. SUBIN, ERIC D. SUBIN, JORGE ARTURO GONZALEZ LUPI, and JOHN DOES 1-50,

Defendants.

HECTOR GONZALEZ, United States District Judge: Plaintiffs Roosevelt Road Re, Ltd. and Tradesman Program Managers, LLC, have sued Herbert S. Subin, Eric D. Subin, Jorge Arturo Gonzalez Lupi (together, the “Moving Defendants”), and various unidentified Defendants, primarily alleging violations of the Racketeer Influenced and Corrupt Organizations Act (“RICO”), 18 U.S.C. § 1962. Plaintiffs allege that Defendants engaged in a scheme by which they used a law firm to direct construction workers to stage worksite injuries, inflated the value of these claimants’ cases by referring them for unnecessary medical procedures, and obtained money through fraudulent judgments, settlements, and workers’ compensation payments. That scheme allegedly injured Plaintiffs because Roosevelt, a reinsurer, needed to pay out on bogus claims covered by primary insurers, and Tradesman, a claim administrator, managed payments for these claims and was required to perform investigative and support work to process them. For the reasons explained below, Plaintiffs’ RICO claims fail because they fail to adequately plead cognizable, direct injuries, and the Amended Complaint is dismissed. Additionally, the Court declines to impose sanctions on Lupi and his counsel. BACKGROUND1 Plaintiff Roosevelt is a Bermudian reinsurer and Plaintiff Tradesman is a New York company that acts as a “management general agency” providing services to various insurers and reinsurers, including Roosevelt. See ECF No. 26 ¶¶ 3–4, 56, 66 (Am. Compl.; “AC”). Defendants Herbert Subin and Eric Subin are attorneys and part owners of Subin Associates, LLC, a law firm (the “Subin Firm”). Id. ¶¶ 5–6. As part of a scheme, so-called “runners,” “under the direction of and in coordination with

Defendants,” recruited construction workers into staging fake accidents at construction sites. Id. ¶ 11. Defendant Lupi was one such runner. Id. ¶¶ 7, 19. The runners directed the construction workers to claim that these sham accidents caused bodily injury and to seek medical treatment. Id. ¶ 12. The runners then “referred and/or transported” these construction worker claimants to the Subin Firm, which represented claimants in connection with lawsuits against parties involved with the construction projects. Id. ¶¶ 13–14. The Subin Firm earned a percentage of the ultimate judgment or settlement in these cases. Id. ¶ 22. Usually in addition to filing lawsuits, the Subin Firm referred claimants to other law firms, which filed workers’ compensation claims for these claimants. Id. ¶¶ 15–16. These referrals allowed the Subin Firm to “maintain[] control” over claimants’ medical treatment, id. ¶ 23, although the AC does not specify how Defendants

otherwise benefited from these referrals. The runners and the Subin Firm also directed claimants to certain medical providers. Id. ¶ 17. In exchange for a stream of referrals, the medical providers provided false medical documentation to inflate claim values. Id. ¶ 18.

1 The Court “recite[s] the substance of the allegations as if they represented true facts, with the understanding that these are not findings of the [C]ourt, as [I] have no way of knowing at this stage what are the true facts.” In re Hain Celestial Grp., Inc. Sec. Litig., 20 F.4th 131, 133 (2d Cir. 2021). Unless otherwise indicated, when quoting cases, all internal quotation marks, alteration marks, emphases, footnotes, and citations are omitted. The Court refers to the pages assigned by the Electronic Case Files system (“ECF”). Since 2018, the Subin Firm has been involved in thousands of lawsuits related to construction work paired with related workers’ compensation claims. Id. ¶ 29. The AC contains several examples of how Defendants put the alleged scheme into action. See id. ¶ 38. One is illustrative. Around December 5, 2019, Lupi introduced “Claimant A” to Herbert Subin. Id. ¶ 38a. Lupi and Herbert Subin referred Claimant A to another law firm around March 2020, as well as to various medical providers for treatment purportedly attributable to a construction site accident. Id. The Subin Firm and Lupi assisted Claimant A in undergoing unnecessary

diagnostic and medical treatment, including surgeries performed in September 2020. Id. To carry this out, Defendants used telephone calls, texts, email, and the mail. Id. In November 2020, at the direction of one or both of the Subin Defendants, a verified bill of particulars was sent via the mail to defense counsel in Claimant A’s underlying lawsuit. Id. ¶ 38b. Later, additional bills of particulars were also sent. Id. ¶¶ 38h, k. Eventually, a defendant in the underlying lawsuit moved to assert fraud, after which the Subin Firm moved to withdraw and filed a consent to change counsel. Id. ¶ 45a. The AC does not specify how the Subin Firm benefitted from its referral of Claimant A to another firm, when it began representing Claimant A, or how it benefited from that representation. At the end of 2023 and start of 2024, another reinsurer sent letters to the Subin Firm

complaining about “a significant increase in claims” brought under New York’s Scaffold Law. Id. ¶¶ 41–42. The latter letter claimed that, according to the reinsurer’s records, “the highest number of suspected fraudulent cases seem to originate from” the Subin Firm. Id. ¶ 42. In addition, another lawsuit against different defendants alleging conduct similar to that alleged in this action was filed in this District on March 1, 2024. Id. ¶ 43. In light of the foregoing, the Subin Firm sought to withdraw from many cases, including in Claimant A’s case. Id. ¶¶ 44–45a. Plaintiffs initiated this action on July 19, 2024, see ECF No. 1, and the AC was filed on November 26, 2024, see ECF No. 26. Herbert Subin filed his motion to dismiss on January 6, 2025. See ECF No. 36 (Mot.); ECF No. 36–1 (Mem.). Lupi filed his motion to dismiss the next day. See ECF No. 37. Eric Subin then appeared in the action and joined Herbert Subin’s motion. See ECF No. 41 (Mot.); ECF No. 41-1 (Mem.). On February 5, 2025, Plaintiffs filed oppositions to the Subins’ motions, see ECF No. 46, and Lupi’s motion, see ECF No. 47. On March 5, 2025, the Subins filed their joint reply, see ECF No. 49, and Lupi also filed his reply, see ECF No. 50.2

LEGAL STANDARD “In order to survive a motion to dismiss, a plaintiff must plead ‘enough facts to state a claim to relief that is plausible on its face.’” Emilee Carpenter, LLC v. James, 107 F.4th 92, 99 (2d Cir. 2024) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). “A claim is plausibly alleged ‘when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.’” Matzell v. Annucci, 64 F.4th 425, 433 (2d Cir. 2023) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)). “In making this assessment, the court must accept as true all of the factual allegations set out in plaintiffs[’] complaint, draw inferences from those allegations in the light most favorable to

plaintiff[s], and construe the complaint liberally.” VR Glob. Partners, L.P. v. Petróleos de Venezuela, S.A., No. 24-1176-cv, 2024 WL 4891271, at *2 (2d Cir. Nov. 26, 2024).

2 Lupi’s papers are materially indistinguishable from Herbert Subin’s. See infra § VI. Therefore, for the sake of readability, the Court cites only to Herbert Subin’s papers.

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