771 F. Supp. 2d 254
E.D.N.Y2011Background
- Plaintiffs are insurers alleging a No-Fault fraud scheme involving numerous defendants; action filed February 12, 2008 under N.Y. Ins. Law § 5101 et seq., common law fraud, unjust enrichment, Gen. Bus. L. § 349, and RICO.
- Earlier decisions largely sustained the complaint and ordered prejudgment attachments; amended complaint on April 21, 2010 added ten defendants involved in ownership/control of the PC Defendants and alleged money laundering.
- Defendants Sheynkman and Artek moved to dismiss under Rule 12(b)(6) for failure to plead with Rule 9(b) particularity and to dismiss for lack of personal jurisdiction and service; attachments remained at issue for the new defendants.
- The court consolidated consideration of the 12(b)(6) and CPLR 6201 motions, denying in part and granting in part relief; specifically, the court denied the 12(b)(6) dismissal as to Sheynkman and Artek and denied prejudgment attachment against them without prejudice, while granting attachment as to Prestige.
- The Amended Complaint alleges YMA was controlled by non-medical managers (e.g., First Neptune and Artek) and used to employ physicians, control practices, and funnel revenues through money laundering to siphon funds from claims submitted to insurers.
- Court’s decision: deny Sheynkman/Artek’s Rule 12(b)(2)/(4)/(5) motions; deny in part and grant in part the fourth motion for prejudgment attachment—granting as to Prestige and denying attachment for Sheynkman/Artek without prejudice.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Personal jurisdiction and service adequacy | Polack-affiliates sought service; nail-and-mail valid after due diligence. | Service insufficient; due diligence lacking before nail-and-mail. | Diligence satisfied; service proper; jurisdictional and service challenges denied. |
| Rule 9(b) particularity for fraud claims against Sheynkman/Artek | Detailed scheme descriptions and exhibits satisfy Rule 9(b) in a complex RICO context. | Plaintiffs fail to tie revenue to ownership/control and fraud with specificity. | Amended Complaint plausibly alleges ownership/control of YMA and involvement in the fraud; Rule 9(b) satisfied for pleading. |
| Fraudulent incorporation pleading under No-Fault law | Plaintiffs alleged fraudulent incorporation to obtain No-Fault benefits; need not plead every medical claim. | Need more specific misrepresentations tied to particular services. | Pleading fraudulent incorporation adequate; plaintiffs need allege misrepresentation that entities were properly licensed to obtain benefits. |
| Prejudgment attachment under CPLR § 6201(3) as to Prestige, Artek, Sheynkman | Money laundering and asset concealment evidence show intent to defraud creditors; likelihood of success on merits. | No specific transfer evidence from YMA to money laundering entities by Sheynkman/Artek; attachment improper for them. | Attachment granted for Prestige; denied without prejudice for Sheynkman and Artek due to lack of evidence of transfers; sua sponte limitations noted. |
Key Cases Cited
- Bell Atl. Corp. v. Twombly, 550 U.S. 544 (U.S. 2007) (plausibility standard for Rule 12(b)(6))
- Ashcroft v. Iqbal, 129 S. Ct. 1937 (U.S. 2009) (twombly-ienforced plausibility and non-conclusory pleading)
- DiVittorio v. Equidyne Extractive Indus., Inc., 822 F.2d 1242 (2d Cir. 1987) (Rule 9(b) particularity standard for fraud)
- Allstate Ins. Co. v. Halima, No. 06-CV-1316, 2009 WL 750199 (E.D.N.Y. 2009) (fraud and ownership issues in No-Fault context)
- Allstate Ins. Co. v. Rozenberg, 590 F. Supp. 2d 384 (E.D.N.Y. 2008) (prior detailed description of scheme and roles)
- State Farm Mut. Auto. Ins. Co. v. Grafman, 655 F. Supp. 2d 212 (E.D.N.Y. 2009) (fraudulent incorporation and recovery of No-Fault payments)
- Allstate Ins. Co. v. Rabiner, 749 F. Supp. 2d 94 (E.D.N.Y. 2010) (fraud/unjust enrichment in No-Fault context; incorporation theory)
- Allstate Ins. Co. v. CPT Med. Servs., No. 04-CV-5045, 2008 WL 4146190 (E.D.N.Y. 2008) (no-fault mail-fraud pleading standards in complex schemes)
- Allstate Ins. Co. v. Grafman, 655 F. Supp. 2d 212 (E.D.N.Y. 2009) (sufficient allegations of money siphoning in fraud claims)
- Allstate Ins. Co. v. Otero, 353 F. Supp. 2d 415 (S.D.N.Y. 2004) (due diligence for service under CPLR 308(4))
- Nassau County v. Gallagher, 43 A.D.3d 972 (2d Dep't 2007) (quality of delivery attempts supports due diligence)
- McSorley v. Spear, 50 A.D.3d 652 (2d Dep't 2008) (due diligence in service analysis under CPLR 308(4))
- Allstate Ins. Co. v. Rozenberg, 590 F. Supp. 2d 384 (E.D.N.Y. 2008) (described scheme and defendants' roles; basis for RICO claims)
