Government Employees Insurance Company v. Patel

No. 24-191 (2d Cir. Feb. 3, 2026) · United States Court of Appeals for the Second Circuit · February 3, 2026 · No. 24-191

Summary

The Second Circuit affirmed a preliminary injunction staying more than 600 New York no-fault insurance collection proceedings brought against GEICO by Dr. Bhargav Patel and related entities. The court held that the parallel proceedings posed a continuing risk of irreparable harm, including inconsistent judgments and obscuring an alleged overarching fraud scheme, and that the injunction fell within the Anti-Injunction Act’s in-aid-of-jurisdiction exception. Judge Park concurred in the judgment in a separate opinion.

Court
United States Court of Appeals for the Second Circuit
Writing for the Court
Carney, Circuit Judge; Park, Circuit Judge; Nardini, Circuit Judge
Jurisdiction
United States Court of Appeals for the Second Circuit
Decision date
February 3, 2026
Docket number
24-191
Procedural posture
Defendants appealed the Eastern District of New York's order granting GEICO a preliminary injunction that stayed more than 600 pending state-court and arbitration collection proceedings and barred defendants from filing new collection actions until resolution of GEICO's federal RICO action.
Standard of review
The grant of a preliminary injunction and stay of parallel state-court proceedings are reviewed for abuse of discretion; application of the Anti-Injunction Act is reviewed de novo.
Precedential value
published
Parties
Bhargav Patel, M.D., Patel Medical Care, P.C. v. Government Employees Insurance Company, GEICO Indemnity Company, GEICO General Insurance Company, GEICO Casualty Company
Disposition
affirmed

Topics

insurance coverageinjunctionsinsurancefederalismappellate procedure

Practice areas

insurancecivil procedurefederal courtsRICOappellate procedure

Questions Presented

  1. Whether the district court abused its discretion in finding irreparable harm, serious questions on the merits, a decidedly favorable balance of hardships, and a public interest supporting a preliminary injunction.
  2. Whether the Anti-Injunction Act barred the district court from staying the parallel state-court collection proceedings.
  3. Whether RICO expressly authorizes an injunction of the parallel state-court proceedings within the Anti-Injunction Act's express-authorization exception.

Holdings

  1. GEICO sufficiently demonstrated irreparable harm because the hundreds of fragmented collection proceedings created a substantial risk of inconsistent judgments, preclusive determinations, concealment of the alleged global fraud scheme, and inability of the federal court to provide complete relief.
  2. The district court did not abuse its discretion in finding serious questions on the merits, a balance of hardships decidedly favoring GEICO, and that an injunction served the public interest.
  3. The injunction did not violate the Anti-Injunction Act because RICO expressly authorizes federal courts to issue appropriate orders preventing and restraining RICO violations, including the injunction of the parallel proceedings at issue here.

Key quotations

A preliminary injunction is an “extraordinary and drastic remedy” that “should not be granted unless the movant, by a clear showing, carries the burden of persuasion.” (11)
A threat of irreparable harm arises “where, but for the grant of equitable relief, there is a substantial chance that upon final resolution of the action the parties cannot be returned to the positions they previously occupied.” (12)
This, the All Writs Act, passed in 1789, empowers federal courts to enjoin state-court proceedings when doing so is necessary “to prevent third parties from thwarting [a] court’s ability to reach and resolve the merits of the federal suit before it.” (24)

Factual background

GEICO alleged that Patel and associated entities operated four clinics and submitted approximately $3.4 million in New York no-fault benefit claims from 2019 through 2023, including claims for unnecessary or unperformed treatments and services allegedly provided by unauthorized individuals. GEICO sought damages for approximately $711,000 in payments already made and a declaration concerning approximately $2.2 million in pending unpaid claims. After GEICO filed suit, defendants initiated approximately 605 individual collection proceedings seeking more than $2.675 million, prompting GEICO to seek a stay and injunction to prevent fragmented proceedings from obscuring the alleged fraud and producing inconsistent or preclusive results.

Procedural history

GEICO filed a federal action alleging that Patel and related entities participated in a fraudulent scheme involving New York no-fault insurance claims. After defendants filed hundreds of state-court and arbitration collection proceedings, GEICO sought interim injunctive relief. The district court granted a preliminary injunction and concluded that the Anti-Injunction Act's in-aid-of-jurisdiction exception permitted the injunction. The Second Circuit affirmed.

Court Document

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