Union Mutual Fire Insurance Company v. Subin Associates, LLP, et al.

District Court, E.D. New York·Decided August 14, 2026·No. 1:25-cv-02652·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK -----------------------------------------------------------------x UNION MUTUAL FIRE INSURANCE COMPANY,

Plaintiff, MEMORANDUM AND ORDER -against- 25-CV-2652 (OEM) (PCG)

SUBIN ASSOCIATES, LLP, et al.,

Defendants. -----------------------------------------------------------------x ORELIA E. MERCHANT, United States District Judge: On May 12, 2025, Union Mutual Fire Insurance Company (“Plaintiff”) commenced this civil Racketeer Influenced and Corrupt Organizations Act (“RICO”) action by filing a complaint. See generally Complaint, Dkt. 1 (“Complaint” or “Compl.”). On August 13, 2025, Plaintiff amended its complaint, suing over 60 defendants under RICO, 18 U.S.C. §§ 1962(a), (c)-(d); New York State General Business Law § 349; New York State Judiciary Law § 487; and New York State common law. See generally First Amended Complaint (“FAC”). Before the Court are motions to dismiss filed by 16 groups of defendants (“Moving Defendants”)1 and Plaintiff’s recently filed motion for leave to file a second amended complaint or supplemental pleading detailing new information relating to the pending motions to dismiss.2 For the following reasons, Moving Defendants’ Motions to Dismiss are denied in part and granted in part, and Plaintiff’s motion for leave to file a second amended complaint or supplemental pleading is denied.

1 See Dkts. 228, 237, 239, 242, 243, 249, 256, 260, 265, 270, 271, 277, 280, 285, 288, 291, 308 (“Moving Defendants’ Motions to Dismiss”).

2 See Plaintiff’s Letter to the Court (June 26, 2026), Dkt. 313. BACKGROUND3 A. The Fraud Scheme Plaintiff, a Vermont-based insurance company, alleges it has been the victim of a sprawling fraud scheme seen before: “stage a fall (or just make it up), overtreat, and sue.” FAC ¶ 96.

Specifically, Plaintiff asserts that “[f]rom at least 2012 to the present, with a marked escalation since 2020,” Defendants, together with others known and unknown, for their financial benefit, orchestrated a widespread scheme to defraud Plaintiff[] and others” in five main ways: (i) fraudulently misrepresenting pre-existing and degenerative conditions as acute trauma, transforming legitimate minor or localized injuries into lucrative full-body claims, and otherwise manufacturing purported injuries from whole cloth; (ii) preparing and collecting documentation as well as submitting, filing, prosecuting and asserting fraudulent personal injury lawsuits on behalf of Claimants, frequently directly related and within short temporal proximity; (iii) providing or alleging to have provided medically unnecessary and excessive healthcare services to such Claimants; (iv) providing monies directly or indirectly to Defendants and to Claimants to fund the fraud scheme; and/or (v) using the fraudulent diagnoses and medically unnecessary and excessive healthcare services to prolong litigation, increase receivables and interest, and inflate or manufacture settlement value. Id. ¶ 214. Plaintiff groups the over 60 defendants4 into four categories5:

3 The following facts are taken from the FAC and assumed to be true for the purposes of resolving the motions to dismiss. See Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). “It is well established that an amended complaint ordinarily supersedes the original, and renders it of no legal effect.” See Shields v. Citytrust Bancorp, Inc., 25 F.3d 1124, 1128 (2d Cir. 1994) (quoting Int’l Controls Corp. v. Vesco, 556 F.2d 665, 668 (2d Cir. 1977)).

4 Plaintiff’s FAC removed certain individuals as named defendants. See Order, dated Sep. 15, 2025 (noting the removal of Aylin Martinez, Best Billing & Collection, Inc.; Danny Batista; David R. Capiola, M.D.; Jaime Castillo; Luis Castellano; and Robert Sandell). “Accordingly, those individuals are no longer parties to this action” and are not included in the listed categories. Id.

5 Plaintiff voluntarily dismissed the following Defendants: Wall Street Clerical and Office Services Inc.; Wall Street Calendar Services Inc.; Wall Street Transportation Services, Inc.; Wall Street Investigations Inc.; Walk Street Investigations Inc.; Wall Street Check Cashing Inc.; Amedico Legal Network, LLC, Amedico Holdco, LLC; Corona 55 Funds, Inc.; Corona 55 Inc.; All Boro Medical Rehabilitation PLLC; Kevin H. Weiner, M.D.; and Felix Karafin, M.D. See Notice of Voluntary Dismissal Without Prejudice as Against Wall Street Clerical and Office Services, Inc., • “Legal Service Defendants” comprise Subin Associates, LLP; Subin & Associates, LLC; Subin, LLP; Eric Subin, PLLC; Herbert S. Subin; Arnold Baum; Eric Subin (collectively, the “Subin Defendants”); Clay M. Evall, Esq., P.C.; Clay M. Evall; Law Offices of Gary S. Park, P.C.; and Gary Park; • “Runner/Support Defendants” comprise John Doe Runners Nos. 1-25; J. Hernandez Associates, Jr., Inc.; Jose Hernandez; Medical Exam Guardians Inc.; Geraldine DeLeon; Luis F. DeLeon; Jorge Arturo Gonzalez Lupi; J&D Investigation Services Corp.; Amedico Legal, LLC; Amedicolegal Funding, LLC; Marysela K. Salinas; Justicia Inc.; Sahiwal Associates, Inc. (NJ); Sahiwal Associates, Inc. (NY); Tri-State Medical Liaison Services, Inc.; Tanvir Chaudhry; Elsie Real Cibbarelli; and XYZ Support Corporation Nos. 1-25; • “Funding Defendants” comprise Pegasus Legal Capital, LLC; Pegasus Fund LLC; PSC Liaisons, LLC; Gregory Elefterakis; Case Cash Funding, LLC; Case Cash GP, LLC; Corona 55 Funds, Inc.; Corona 55 Inc.; Wall Street Case Advances Inc.; Neal Magnus; Best Case Originations, LLC; Best Case Originations D, LLC; RL SPV, LLC; and XYZ Funding Corporation Nos. 1-25; and • “Medical Provider Defendants” comprise Bestcare Physical Therapy and Chiropractic, PC; Maxim Orthopaedics PLLC s/d/b/a Maximum Orthopedics s/d/b/a workerscompensationdrs.com; Maxim Tyorkin, M.D.; RJR Medical P.C.; Urban Heights Medical, PC; Albert J. Ciancimino, M.D.; NY Orthopedics, P.C. s/d/b/a SpineCareNYC; Michael Gerling, M.D.; McCulloch Orthopaedic Surgical Services, P.L.L.C s/d/b/a New York Sports and Joints Orthopaedic Specialists; Kenneth McCulloch-Otero, M.D.; Sanford R. Wert, M.D.; Sanford R. Wert, M.D., PC; Jason M. Gallina, M.D.; Jason M. Gallina, M.D., PC; Kolb Radiology PC; and Thomas Kolb, M.D. Id. ¶¶ 4-95. Plaintiff contends that these defendants recruited claimants who were “often impoverished immigrants, drug addicts, homeless, and otherwise those who have difficulty seeing another path with not just a promised large sum down the line if they play along, but access to money, otherwise unobtainable, within hours” (“Claimants”). Id. ¶ 99. Plaintiff visualizes this “Fraud Scheme” in the following figure, asserting that, “[a]t the center, and the Enterprise machinery, is the Subin

Wall Street Calendar Services Inc., Wall Street Transportation Services, Inc., Wall Street Investigations Inc., Walk Street Investigations, Inc., Wall Street Check Cashing Inc., Corona 55 Funds Inc. and Corona 55 Inc. Only, Dkt. 181; Order, dated Sep. 22, 2025; Stipulation of Dismissal Without Prejudice, Dkt. 209; Stipulation of Dismissal Without Prejudice as Against All Boro Medical Rehabilitation PLLC, Kevin H. Weiner, M.D., Felix Karafin, M.D. Only, Dkt. 310; Order Dismissing Parties, dated June 22, 2026. Consequently, these Defendants are no longer parties to this action and are not included in the listed categories. Firm,” id. § 110, comprising Defendants Eric Subin, PLLC; Subin Associates, LLP; Subin & Associates, LLC; and Subin, LLP., id. § 7:

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