Petitioner acquired health and accident insurance policies from an insolvent insurance company and assumed the liabilities thereunder.
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51 T.C. 765">*765 The respondent determined deficiencies in the income tax of petitioner for the years 1960 and 1961 in the amounts of $ 31,704.08 and $ 54,339.10. The issue for our consideration is the existence and extent of a net operating loss in 1957, which it is conceded can be carried over to the subsequent taxable years. The resolution of this issue depends upon whether petitioner erroneously reported certain unearned premiums and 1969 U.S. Tax Ct. LEXIS 191">*192 liabilities assumed as income in 1957 and whether it can amortize the consideration paid for health and accident insurance policies, or any part thereof. 1
51 T.C. 765">*766 FINDINGS OF FACT
Some of the facts are stipulated and are found accordingly.
Petitioner is an insurance company organized under the laws of Kentucky on August 31, 1955, with its principal place of business in Louisville, Ky., at the time of the filing of the petition herein. It filed corporate income tax returns for the taxable years in question with the district director of internal revenue, Louisville, Ky. On March 22, 1966, petitioner's name was changed from State Insurance Co. of Kentucky to International Life Insurance Co. The parties have stipulated that, during the taxable years at issue, petitioner was taxable as an insurance company other than a life or mutual insurance company within the meaning of
Republic Casualty Insurance Co. (hereinafter Republic) was incorporated in Kentucky as an insurer of health and accident policies and 1969 U.S. Tax Ct. LEXIS 191">*193 full coverage automobile insurance policies.
On August 30, 1956, the Kentucky Insurance Commissioner filed an "Application for Order of Rehabilitation" in the Franklin Circuit Court in which he alleged Republic "to be in such condition that its further transaction of business will be hazardous to its policyholders, or to its creditors, members, subscribers, stockholders, or to the public." On October 20, 1956, the Franklin Circuit Court issued an order appointing the insurance commissioner Rehabilitator of Republic with authorization to negotiate an agreement with an acceptable insurer in order to substitute another company in place of Republic.
Thereafter, pursuant to an agreement (entitled "Reinsurance Agreement") between Republic and petitioner, dated January 18, 1957, and effective as of January 1, 1957, Republic ceded to petitioner and petitioner assumed all of Republic's health and accident policies in force as of the effective date of the agreement.
The agreement provided in pertinent part:
Article II
In consideration of the cession by REPUBLIC of such policies, STATE does hereby agree to pay to REPUBLIC one-half of an annual premium on each policy so ceded. Twenty per cent (20%) 1969 U.S. Tax Ct. LEXIS 191">*194 of such annual premium shall be paid immediately upon presentation by REPUBLIC of a list duly verified by STATE of all such policies identified by policy number, name of insured and setting out the annual premium. From the remaining thirty per cent (30%) of such annual premium there shall be deducted when determined to the satisfaction of both parties hereto and not later than six months subsequent to the effective date of this agreement, the unearned premium and the claim liability as of the effective date of this agreement.
Article III
REPUBLIC does hereby agree to transfer and deliver to STATE each and every file and record existing in connection with such policies, including 51 T.C. 765">*767 addressograph plates and IBM cards and the filing cases in which they are contained and REPUBLIC agrees, after final approvals are secured on this agreement, to pay to STATE all premiums collected on such policies less all claims paid on such policies, subsequent to the effective date of this reinsurance agreement.
Article IV
By this reinsurance agreement, STATE does hereby assume without diminution because of the solvency or insolvency of the ceding insurer all of the liability to policyholders of whatever kind, 1969 U.S. Tax Ct. LEXIS 191">*195 character, or description arising out of such policies so ceded in accordance with the terms of such policies, including the obligation to reinstate any accident and health policy of REPUBLIC in accordance with its terms which was not ceded hereunder by reason of failure of the insured to pay the necessary premiums thereon, subject, however to any and all defenses against claims and actions upon such policies which have been or would have been available to the [sic] REPUBLIC had this reinsurance agreement not been made. It is understood and agreed that STATE does not assume any liability to pay commissions on such policies ceded. It is likewise understood that a collection fee payable in connection with so called franchise or payroll deduction groups is not commission.
Republic covenanted that during the succeeding 2 years it would not engage in the business of health and accident insurance and that it would not induce or encourage the owner of any policy taken over by petitioner to discontinue that policy in favor of any other company.
The other assets transferred by Republic to petitioner were a list of all policies, containing the policy number and the name of the insured and the 1969 U.S. Tax Ct. LEXIS 191">*196 amount of the annual premiums, IBM cards, assorted filing cabinets and desks and chairs having a value of about $ 400, a multilith press which was shortly abandoned, and an addressograph platemaker which was sold for $ 150.
None of Republic's employees, apart from clerical help, became employees of petitioner. Petitioner did not acquire the right to use the name "Republic Casualty Insurance Company" in its business, and, in fact, Republic continued to exist as a corporation subsequent to the agreement.
The Franklin Circuit Court, by an order dated January 31, 1957, approved the agreement between petitioner and Republic, appointed the Kentucky insurance commissioner as receiver for Republic "for the purpose of liquidating the business of same, not otherwise reinsured," and authorized the receiver "to negotiate * * * for the sale in whole or in part of the assets, corporate structure, liabilities, good will and experience of the Republic Casualty Insurance Company."
Petitioner issued to each Republic policyholder a certificate of assumption under which petitioner agreed to provide the coverage specified by the policy in place of Republic. The Republic policies assumed by the petitioner 1969 U.S. Tax Ct. LEXIS 191">*197 could be canceled or modified by the insurer at any time, and were subject to renewal only upon the payment of an additional premium.
51 T.C. 765">*768 As of January 1, 1957, Republic had 13,992 health and accident policies in force, on which the aggregate annual premium, obtained by annualizing the usual mode of payment by the policyholder, i.e., annually, semiannually, quarterly, or monthly, was $ 348,605.40.
Petitioner made a net cash payment to Republic of $ 77,019.22, determined as follows:
50 percent of annual premiums ($ 353,817.10, as | ||
initially determined) | $ 176,908.55 | |
Less: Unearned premiums as of 12/31/56 | $ 55,528.27 | |
Unpaid claims as of 12/31/56 | 32,990.70 | 88,518.97 |
Total | 88,389.58 | |
Less: 1957 business adjustments: | ||
Premiums collected by Republic | 37,279.68 | |
Pre-1957 claims paid by Republic | (22,283.89) | |
Post-1956 claims paid by Republic | (6,231.28) | 8,764.51 |
Cash paid (check No. 301R, 3/4/57) | 79,625.07 | |
Less: June 30, 1957, adjustment: | ||
50% of annual premium | 176,908.55 | |
50% of corrected premium | (174,302.70) | |
Refunded | 2,605.85 | |
Net cash paid | 77,019.22 |
Petitioner initially characterized this payment as "commissions paid" on its books and records. The following journal entries were made in December 1957 on petitioner's books (thereby 1969 U.S. Tax Ct. LEXIS 191">*198 adjusting prior entries):
Account identification | Dr. | Cr. |
Commissions paid | 2 $ 79,625.07 | |
Paid for business acquired | $ 176,908.55 | |
Assets received on assumption of risks | 88,518.97 | |
Claims paid | 28,515.17 | |
Premium income | 37,279.68 | |
General clearing a/c | 2,605.85 | |
Paid for business acquired | 2,605.85 |
Of the 13,992 policies of Republic reinsured by petitioner, at least 9,922 (or 70 percent of the total) had lapsed or otherwise terminated as of December 31, 1966, as follows:
Year | Number | Percentage |
terminated | terminated | |
1957 | 741 | 5.3 |
1958 | 1,698 | 12.1 |
1959 | 653 | 4.7 |
1960 | 700 | 5.0 |
1961 | 380 | 2.7 |
1962 | 441 | 3.2 |
1963 | 1,734 | 12.4 |
1964 | 1,691 | 12.1 |
1965 (Oct.) | 454 | 3.2 |
1966 (Oct.) | 809 | 5.8 |
Unknown | 621 | 4.4 |
9,922 | 70.9 |
51 T.C. 765">*769 In its 1957 tax return, petitioner reported as an income item the amount of $ 88,518.97 as "assets received on assumption of risk" and deducted as an expense item $ 174,302.70 as being "paid for business acquired." Respondent has disallowed the deduction but has not made any adjustment with respect to the income item.
OPINION
We are confronted herein with the necessity of determining the tax consequences arising from a transaction whereby petitioner took over the 1969 U.S. Tax Ct. LEXIS 191">*199 health and accident business of an insolvent insurance company (Republic). Four issues are involved: (1) The amount of the consideration paid by petitioner to Republic; (2) the treatment of the unearned premiums on the policies assumed by petitioner; (3) the treatment of certain liabilities of Republic assumed by petitioner; and (4) whether the consideration paid, or any part thereof, may be amortized, and, if so, over what period.
Each party seeks to predetermine the issues to be resolved by attempting to fit the transaction between petitioner and Republic into a standard mold. Petitioner claims that the transaction represented nothing more than a takeover of the entire risk on Republic's policies and should be treated as a simple "assumption reinsurance" arrangement.
Petitioner first asserts that Republic's unearned premiums and existing liabilities with respect to policy claims at the time of acquisition produced no income to it, that these items should be netted against the gross amount of one-half the annualized premium, and that the net figure thus arrived at (after adjustment for various post-acquisition items) constitutes the consideration paid. Respondent argues that the amount of unearned premiums constitutes income to petitioner and that neither those premiums nor the existing liabilities assumed reduce the consideration paid by petitioner. We agree with respondent.
We deal first with the unearned premiums of $ 55,528.27. The classic concept of reinsurance is a "contract by which one insurer insures the risks of another insurer." See
In
We now turn to the item of $ 32,990.70 representing the amount of Republic's liabilities to policyholders existing at the date of acquisition and assumed by petitioner. Petitioner asserts that if this item is not netted out in determining the consideration paid by it to Republic, it will in effect be held to have realized income through the assumption of liabilities. Petitioner has thus created a false 1969 U.S. Tax Ct. LEXIS 191">*206 issue. Although petitioner did not favor us with the accounting details which underlay the stipulated book entries, it seems clear from the information made available to us that these liabilities were taken into account by petitioner in computing its deduction for "losses incurred" under
51 T.C. 765">*772 As a backdrop to our consideration of this issue, we note that what is involved is not losses
In determining underwriting income as defined in
In view of the foregoing, we hold that the consideration paid by petitioner to Republic was the gross amount of one-half the annualized premium. This determination brings us to the final issue involved herein, namely, whether any part of that consideration is currently deductible by petitioner. Initially, petitioner asserts that the consideration thus paid represented a commission to Republic or a reimbursement to Republic for expenses incurred by it in writing the insurance. There is no need to dwell upon the elements involved in upholding the deductibility of amounts paid by a reinsurer by way of commissions or reimbursement of expenses of the reinsured in reinsurance transactions. 1969 U.S. Tax Ct. LEXIS 191">*208 Cf.
We are equally unimpressed with petitioner's claim that the consideration was paid for policies having a determinable useful life. Here again, the parties seek to resolve the issue in terms of whether the within situation fits the mold of "insurance expirations" which have been held to comprise a capital asset in the nature of goodwill and therefore are not subject to amortization.
Nor do we think that the policies involved herein can be analogized to life insurance policies as to which amortization is permitted. Sec. 809(d)(12);
Petitioner makes the further argument that all or a portion of the consideration should be allocated to Republic's covenant not to compete, thereby allowing a complete or partial write-off during the 2 years of the covenant. While the agreement makes no allocation on its face, petitioner requests that we apply the rule of
1. Petitioner has not contested respondent's disallowance of a deduction of legal fees in the amount of $ 1,750 for the taxable year 1960.↩
2. This was the amount originally paid in cash, which was subsequently adjusted downward to $ 77,019.22.↩
3. All references, unless otherwise specified, are to the Internal Revenue Code of 1954.
(a) Definition of Taxable Income. -- In the case of an insurance company subject to the tax imposed by
(b) Definitions. -- In the case of an insurance company subject to the tax imposed by (1) Gross income. -- The term "gross income" means the sum of -- (A) the combined gross amount earned during the taxable year, from investment income and from underwriting income as provided in this subsection, computed on the basis of the underwriting and investment exhibit of the annual statement approved by the National Convention of Insurance Commissioners, * * * * (3) Underwriting income. -- The term "underwriting income" means the premiums earned on insurance contracts during the taxable years less losses incurred and expenses incurred. (4) Premiums earned. -- The term "premiums earned on insurance contracts during the taxable year" means an amount computed as follows: (A) From the amount of gross premiums written on insurance contracts during the taxable year, deduct return premiums and premiums paid for reinsurance. (B) To the result so obtained, add unearned premiums on outstanding business at the end of the preceding taxable year and deduct unearned premiums on outstanding business at the end of the taxable year. * * * (5) Losses incurred. -- The term "losses incurred" means losses incurred during the taxable year on insurance contracts, computed as follows: (A) To losses paid during the taxable year, add salvage and reinsurance recoverable outstanding at the end of the preceding taxable year and deduct salvage and reinsurance recoverable outstanding at the end of the taxable year. (B) To the result so obtained, add all unpaid losses outstanding at the end of the taxable year and deduct unpaid losses outstanding at the end of the preceding taxable year.
4. We note that none of the unearned premiums covered a period longer than 12 months and that petitioner took over Republic's policies on the first day of its taxable year. Consequently, all of these premiums would appear to have been earned by petitioner during that year and would not be included in the unearned premium reserve.
5. At the time of the Republic reinsurance transaction, it was the practice of petitioner, in obtaining new health and accident business, to pay, apart from other general acquisition costs, agents' commissions and override commissions aggregating 20.6 percent of the annual policy premium and, in addition, a semiannual agent's bonus equivalent to 5 percent of an annual premium on the policies in force written by the respective agents.
A statistical study of the cost to petitioner in the issuance of its health and accident policies shows that petitioner's payments to its agents and for advertising and lead procurement total about $ 4.78 for each dollar of monthly premium. This equals about 65 percent of the annual premium collected, because of the presence of a lapse factor, i.e., a single dollar of monthly premium issued will produce only $ 7.63 of collected premiums in 12 months. If the lapse factor is eliminated, the cost of placing premium income on the books is about 45 percent of an annual premium.↩
6. Sec. 1.167(a)-3 Intangibles.
If an intangible asset is known from experience or other factors to be of use in the business or in the production of income for only a limited period, the length of which can be estimated with reasonable accuracy, such an intangible asset may be the subject of a depreciation allowance. * * * An intangible asset, the useful life of which is not limited, is not subject to the allowance for depreciation. * * *
7. (c) Deductions Allowed. -- In computing the taxable income of an insurance company subject to the tax imposed by
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(10) deductions (other than those specified in this subsection) as provided in part VI of subchapter B (