1975 U.S. Tax Ct. LEXIS 90">*90
2. Both Bankers and Union made a distribution to shareholders through the purchase by Bankers of Union's stock held by General within the meaning of
3. The cost to Union of acquiring cancelable, noncancelable, and guaranteed renewable health and accident insurance policies through reinsurance assumptions is amortizable over the reasonably estimated useful life of the policies acquired (
64 T.C. 807">*808 Respondent determined1975 U.S. Tax Ct. LEXIS 90">*96 deficiencies in Federal income tax of Union Bankers Insurance Co. and its liability as transferee of Bankers Service Life Insurance Co. for Federal income tax of that company as follows:
Amount of | Amount of | |
Years | deficiency | liability |
1963 | $ 180,672.80 | |
1/1/64 to 6/30/64 | 12,221.85 | |
1960 | $ 32,607.83 | |
1963 | 304,562.30 | |
1964 | 95,733.05 | |
1965 | 172,293.70 | |
1966 | 13,698.90 | |
1967 | 129,372.16 |
The parties have disposed of some of the issues raised by the pleadings by agreement, leaving for our decision the following:
(1) Whether Union Bankers Insurance Co. received a constructive taxable dividend when its subsidiary, Bankers Service Life Insurance Co., purchased shares of Union Bankers' stock from a corporation which was controlling shareholder of Union Bankers;
(2) Whether Bankers Service Life Insurance Co. or Union Bankers Insurance Co. or both through the purchase by Bankers Service of the Union Bankers' stock from Union Bankers' controlling shareholder, made distributions within the meaning of
(3) Whether Union Bankers Insurance Co. is entitled to amortize the cost of acquiring blocks of1975 U.S. Tax Ct. LEXIS 90">*97 accident and health insurance in force from other insurance companies by assumption reinsurance agreements.
64 T.C. 807">*809 FINDINGS OF FACT
Some of the facts have been stipulated and are found accordingly.
At the time of filing its petitions in this case petitioner, Union Bankers Insurance Co. (Union), was a life insurance company organized under the laws of the State of Texas with its principal place of business at Dallas, Tex. Union filed its corporate tax return for its taxable year 1960 and its life insurance company income tax returns for its taxable years 1961, 1962, 1963, 1964, 1965, 1966, and 1967 with the District Director of Internal Revenue for Dallas, Tex.
Bankers Service Life Insurance Co. (Bankers) was a life insurance company organized under the laws of the State of Oklahoma. It filed its life insurance company income tax return for its taxable year 1963 with the District Director of Internal Revenue for Oklahoma City, 1975 U.S. Tax Ct. LEXIS 90">*98 Okla.
General Insurance Investment Co. (General) is a Texas corporation organized under and subject to the Texas Business Corporation Act.
On August 19, 1963, General owned 31.5 percent of the common stock, 84.2 percent of the class A voting preferred stock, and approximately 100 percent of the class B preferred stock of Union. On or after August 19, 1963, Union acquired approximately 53 1/2 percent of the outstanding capital stock of Bankers, and General acquired approximately 32 1/2 percent of the outstanding capital stock of Bankers.
On or about August 21, 1963, Bankers acquired 134,000 shares of Union's class B preferred stock from General. On or about December 30, 1963, Bankers acquired an additional 6,000 shares of Union's class B preferred stock from General.
Neither Union nor Bankers on their 1963 income tax return reported any income from the purchase by Bankers of the Union stock from General.
Respondent in his notice of liability to Union as successor and transferee of Bankers determined that Union was liable for a deficiency in Bankers' tax in the amount of $ 180,672.80 for its calendar year 1963 resulting in part from an increase in Bankers' life1975 U.S. Tax Ct. LEXIS 90">*99 insurance company taxable income in the amount of 64 T.C. 807">*810 $ 421,534.61. Respondent explained this increase as being a charge to Bankers' policyholders surplus account because of distributions by Bankers within the year 1963, based on respondent's determination that the payment of a cash dividend by Bankers to Union in the amount of $ 289,751.80 and the purchase by Bankers of 140,000 shares of class B preferred stock issued by Union for the amount of $ 1,132,932.15 resulted in distributions by Bankers to Union in the total amount of $ 1,422,683.95 for the taxable year 1963 which was chargeable to Bankers' shareholders surplus account to the extent thereof as of the close of its taxable year in the amount of $ 266,511.14, to Bankers' policyholders surplus account to the extent thereof at the close of its taxable year in the amount of $ 421,534.61, and to other surplus accounts of Bankers in the amount of $ 734,638.20.
Respondent in his notice of deficiency to Union determined that the purchase from General by Bankers of 140,000 shares of Union class B preferred stock resulted in a distribution of an ordinary dividend by Bankers to Union to the extent of Bankers' earnings and profits1975 U.S. Tax Ct. LEXIS 90">*100 available for distribution. This determination resulted in increasing dividends received by Union from Bankers by the amount of $ 298,002.81. Union's share (the total less policyholders' share) of this amount less Union's share of the corporate dividends received deduction was included in Union's life insurance company taxable income. Further, respondent determined that Union made distributions during the taxable year 1963 in the amount of $ 1,581,826.32 of which the amount of $ 1,132,932.15 was a distribution by Union to General through the sale of preferred class B Union shares by General to Bankers. Respondent charged the total amount of distributions made during the taxable year 1963 to Union's shareholders surplus account to the extent thereof at the close of its taxable year in the amount of $ 733,063.06 and to Union's policyholders surplus account to the extent thereof at the close of its taxable year in the amount of $ 471,328.38. The balance of distributions in 1963 was charged to other surplus accounts in the amount of $ 377,434.88. Respondent included the amount of $ 471,328.38, the amount by which Union's policyholders surplus account was reduced, in Union's life1975 U.S. Tax Ct. LEXIS 90">*101 insurance company taxable income for 1963.
64 T.C. 807">*811 2.
In the insurance industry, accident and health insurance may be classified, generally, as cancelable, noncancelable, or guaranteed renewable. A cancelable accident and health insurance policy is one which the insurance company may refuse to renew or extend the insurance coverage to the insured. Its term is usually 12 months. A noncancelable accident and health insurance policy is one which the insurance company is under an obligation to renew or continue the insurance coverage at a specified premium. Under this type of policy the insured is compensated at fixed rates for specified periods of time for his loss of time from work and hospitalization costs in the event of the insured's accidental injury or illness. A guaranteed renewable accident and health insurance policy is one which the insurance company may not cancel but under which the company reserves the right to adjust the premium rates by classes in accordance with its experience under the type of policy involved.
Union purchased various blocks of accident and health insurance in force from other insurance companies pursuant to reinsurance agreements1975 U.S. Tax Ct. LEXIS 90">*102 and paid a premium to the ceding company to purchase such existing business. The date of the acquisitions, the ceding companies, the premium paid for such insurance in force, the approximate relative percentage of each type of accident and health insurance policies remaining in force at stated times, and the approximate percentage of the total number of policies remaining in force at stated times are as shown in the table on pages 812-813. 64 T.C. 807">*812
As of | |||
Date of | Amount of | date of | |
Ceding company | purchase | premium paid | purchase |
Republic Bankers Life Ins. Co. 2 | 12/31/58 | $ 47,890.53 | |
Percentage by type: | |||
Noncancelable | 17.44 | ||
Guaranteed renewable | 2.74 | ||
Other | 79.82 | ||
Total percentage in force | 100.00 | ||
Old Capitol Life & Accident | |||
Ins. Co. | 1/12/59 | 496,906.99 | |
Percentage by type: | |||
Noncancelable | 41.54 | ||
Guaranteed renewable | 30.19 | ||
Other | 28.27 | ||
Total percentage in force | 100.00 | ||
Reliance National Life Ins. Co. | 8/1/60 | 185,528.43 | |
Percentage by type: | |||
Noncancelable | .06 | ||
Guaranteed renewable | 3.04 | ||
Other | 96.89 | ||
Total percentage in force | 100.00 | ||
Universal Guaranty Ins. Co. 3 | 1/1/62 | 409,320.79 | |
Percentage by type: | |||
Noncancelable | 1.67 | ||
Guaranteed renewable | 3.08 | ||
Other | 95.25 | ||
Total percentage in force | 100.00 | ||
Bankers Service Life Ins. Co. 41975 U.S. Tax Ct. LEXIS 90">*106 | 10/1/63 | $ 1,270,288.92 | |
Percentage by type: | |||
Guaranteed renewable | 100.00 | ||
Total percentage in force | 100.00 | ||
Old National Ins. Co. 5 | 4/15/65 | 590,418.27 | |
9/1/65 | 12,776.57 | ||
Percentage by type: | |||
Noncancelable | 21.59 | ||
Guaranteed renewable | 60.11 | ||
Other | 18.30 | ||
Total percentage in force | 100.00 | ||
State Ins. Co. of Tennessee6 | 5/16/66 | 934,200.00 | |
Percentage by type: | |||
Noncancelable | .07 | ||
Guaranteed renewable | 99.93 | ||
Other | 0 | ||
Total percentage in force | 100.00 |
December 31 -- | |||||
Ceding company | 1962 | 1963 | 1964 | 1965 | 1966 |
Republic Bankers Life Ins. Co. | |||||
Percentage by type: | |||||
Noncancelable | 17.46 | 17.66 | 17.72 | 18.23 | 18.50 |
Guaranteed renewable | 2.73 | 3.17 | 3.32 | 3.79 | 3.51 |
Other | 79.81 | 79.17 | 78.96 | 77.98 | 77.99 |
Total percentage in force | 31.64 | 27.25 | 23.75 | 20.82 | 16.05 |
Old Capitol Life & Accident | |||||
Ins. Co. | |||||
Percentage by type: | |||||
Noncancelable | 41.54 | 42.60 | 43.47 | 44.00 | 45.56 |
Guaranteed renewable | 30.19 | 28.76 | 28.04 | 27.24 | 25.16 |
Other | 28.27 | 28.64 | 28.49 | 28.76 | 29.28 |
Total percentage in force | 26.55 | 23.35 | 21.19 | 19.01 | 15.81 |
Reliance National Life Ins. Co. | |||||
Percentage by type: | |||||
Noncancelable | .06 | .06 | .06 | .07 | .09 |
Guaranteed renewable | 3.05 | 3.73 | 3.84 | 3.89 | 3.98 |
Other | 96.89 | 96.21 | 96.10 | 96.03 | 95.93 |
Total percentage in force | 40.58 | 34.42 | 29.99 | 26.60 | 21.19 |
Universal Guaranty Ins. Co. | |||||
Percentage by type: | |||||
Noncancelable | 1.67 | 1.81 | 1.90 | 1.98 | 2.15 |
Guaranteed renewable | 3.08 | 2.69 | 2.51 | 2.45 | 2.35 |
Other | 95.25 | 95.50 | 95.59 | 95.57 | 95.50 |
Total percentage in force | 78.48 | 65.90 | 58.39 | 52.25 | 40.18 |
Bankers Service Life Ins. Co. | |||||
Percentage by type: | |||||
Guaranteed renewable | 0 | 100.00 | 100.00 | 100.00 | 100.00 |
Total percentage in force | 0 | 87.54 | 69.83 | 60.75 | 47.26 |
Old National Ins. Co. | |||||
Percentage by type: | |||||
Noncancelable | 0 | 0 | 0 | 22.42 | 25.01 |
Guaranteed renewable | 0 | 0 | 0 | 59.43 | 56.30 |
Other | 0 | 0 | 0 | 18.15 | 18.69 |
Total percentage in force | 0 | 0 | 0 | 87.52 | 72.51 |
State Ins. Co. of Tennessee | |||||
Percentage by type: | |||||
Noncancelable | 0 | 0 | 0 | 0 | .13 |
Guaranteed renewable | 0 | 0 | 0 | 0 | 99.87 |
Other | 0 | 0 | 0 | 0 | 0 |
Total percentage in force | 0 | 0 | 0 | 0 | 46.13 |
December 31 -- | |||||
Ceding company | 1967 | 1968 | 1969 1 | 1970 | 1971 |
Republic Bankers Life Ins. Co. | |||||
Percentage by type: | |||||
Noncancelable | 16.67 | 19.82 | 21.32 | 22.54 | 21.11 |
Guaranteed renewable | 0 | 6.45 | 9.64 | 10.40 | 10.46 |
Other | 83.33 | 73.73 | 69.03 | 67.05 | 68.63 |
Total percentage in force | 10.82 | 8.15 | 7.40 | 6.50 | 5.75 |
Old Capitol Life & Accident | |||||
Ins. Co. | |||||
Percentage by type: | |||||
Noncancelable | 51.72 | 62.05 | 55.40 | 54.91 | 55.26 |
Guaranteed renewable | 21.20 | 24.17 | 30.61 | 31.24 | 30.82 |
Other | 27.08 | 13.78 | 13.99 | 13.85 | 13.92 |
Total percentage in force | 13.00 | 9.68 | 10.29 | 9.16 | 8.27 |
Reliance National Life Ins. Co. | |||||
Percentage by type: | |||||
Noncancelable | .13 | .20 | .20 | .23 | .27 |
Guaranteed renewable | 5.10 | 8.10 | 16.47 | 18.05 | 19.46 |
Other | 94.77 | 91.70 | 83.33 | 81.71 | 80.27 |
Total percentage in force | 15.03 | 9.47 | 9.66 | 8.28 | 7.09 |
Universal Guaranty Ins. Co. | |||||
Percentage by type: | |||||
Noncancelable | 2.12 | 2.57 | 2.43 | 2.74 | 2.67 |
Guaranteed renewable | 2.07 | 2.25 | 14.02 | 14.27 | 14.10 |
Other | 95.80 | 95.18 | 83.54 | 82.99 | 83.23 |
Total percentage in force | 30.14 | 20.85 | 21.12 | 17.89 | 15.62 |
Bankers Service Life Ins. Co. | |||||
Percentage by type: | |||||
Guaranteed renewable | 100.00 | 100.00 | 100.00 | 100.00 | 100.00 |
Total percentage in force | 37.70 | 28.85 | 28.53 | 25.55 | 23.41 |
Old National Ins. Co. | |||||
Percentage by type: | |||||
Noncancelable | 25.97 | 28.88 | 30.67 | 32.03 | 32.85 |
Guaranteed renewable | 49.82 | 50.39 | 50.06 | 48.59 | 47.70 |
Other | 24.21 | 20.73 | 19.27 | 19.38 | 19.45 |
Total percentage in force | 59.52 | 50.45 | 48.84 | 44.73 | 41.73 |
State Ins. Co. of Tennessee | |||||
Percentage by type: | |||||
Noncancelable | .08 | .11 | .12 | .13 | .15 |
Guaranteed renewable | 94.60 | 99.89 | 99.79 | 99.84 | 99.82 |
Other | 5.32 | 0 | .09 | .03 | .03 |
Total percentage in force | 42.29 | 31.26 | 29.05 | 25.55 | 22.88 |
64 T.C. 807">*814 64 T.C. 807">*813 In each acquisition Union assumed all liabilities and risks under the policies and issued a certificate of assumption to the policyholder reflecting the reinsurance transaction.
During the years in issue, the State of Texas did not require that a reserve in addition to an unearned premium reserve be established with respect to noncancelable and guaranteed renewable accident and health insurance. Union did not establish reserves in addition to unearned premium reserves in connection with any of the blocks of insurance acquired which it classified as noncancelable or guaranteed renewable business or with respect to cancelable business which it made guaranteed1975 U.S. Tax Ct. LEXIS 90">*107 renewable.
In acquiring these eight blocks of insurance in force, Union paid an amount equal to approximately half of their total annualized premium or six times the monthly premium in force, adjusted for any commissions still payable on the policies it bought, an excessive ratio of losses to premiums and unearned premium reserves transferred.
In buying blocks of policies in force Union gave no consideration to the right to the name of the insurance company from which it acquired policies in force nor did it obtain such right. Further, Union did not seek to employ individuals who were working for insurance companies from which it acquired blocks of insurance, although some former employees of these insurance companies did come to work for Union after it had acquired the blocks of insurance.
The insurance companies other than Republic Bankers Life Insurance Co. from which Union acquired the eight blocks of insurance, either eventually merged or liquidated into Union or discontinued their accident and health insurance business. In each instance these companies ceased to compete with Union. However, Republic Bankers Life Insurance Co. which sold a block of their accident and health1975 U.S. Tax Ct. LEXIS 90">*108 insurance business to Union needed the capital at that time and continued to compete with Union in selling accident and health insurance.
Although it is necessary to be licensed by a State insurance commission to transact insurance business within a State, it is not essential to have a license in acquiring a block of insurance by a reinsurance agreement and servicing that business.
There infrequently are inquiries to the ceding insurance company from holders of policies which have been sold pursuant to reinsurance agreements. In such an event the ceding insurance 64 T.C. 807">*815 company that receives an inquiry from one of its former policyholders with regard to a renewal, endorsement, or claim generally will forward the inquiry to the reinsuring company or refer its former policyholder to the reinsuring company. However, if a former policyholder of a ceding company were to request information concerning buying insurance from the ceding company which provided no basis for the ceding company to realize that it had ceded this business, the inquiry would be referred by the ceding company to its agency force, if it has one, as a prospect.
Union primarily acquired individual accident and health1975 U.S. Tax Ct. LEXIS 90">*109 insurance policies and some family group accident and health insurance policies in its reinsurance transactions. Family group policies terminate coverage of a dependent upon his reaching the age of 18, but such dependent may under a convertability provision in a family group policy be issued a policy in his own name.
Union claimed deductions for amortization of the premium paid with respect to reinsuring blocks of insurance based on a 7-year life with 20 percent deducted in the first year and equal deductions of the remaining balance in the succeeding 6 years. Its determination of the useful life of a block of insurance was based on its view of industry experience, its own experience, and its use of a 7-year life in gauging the performance of a block of business it had acquired to determine if Union would realize the profits it anticipated at the time it bought the business in force.
Union never exercised its right to cancel the cancelable policies that it acquired by the reinsurance agreements and its policy was, where feasible, to convert its cancelable policies to guaranteed renewable. The cancelable policies it acquired from Bankers and State Insurance Co. of Tennessee pursuant1975 U.S. Tax Ct. LEXIS 90">*110 to reinsurance agreements were converted by Union to guaranteed renewable at the time they were acquired.
The term "lapse" as it is applied to accident and health insurance is generally understood in the insurance industry to mean the failure of a policy or one into which it is converted to continue in force because of the unforeseeable termination of the policy or converted policy by the insured. This results from the insured's voluntary or involuntary nonpayment of premium. Lapse studies are statistical analyses of failure of a policy to continue in force for whatever reason during an interval of time. 64 T.C. 807">*816 Persistency and persistency studies are the complements to lapse and lapse studies.
Each policy form has a unique rate of lapse. Based on the insureds' occupations, geographical locations of residence, and annual incomes, and the methods including reinsurance transactions by which the insureds were solicited, the rate of lapse of a group of a specified kind of accident and health policies, hospitalization, hospitalization and surgical, disability income or accidental injury, may be statistically projected with reasonable certainty. If these factors are unavailable with1975 U.S. Tax Ct. LEXIS 90">*111 respect to a block of insurance in force, lapse rates may be determined from a statistical analysis of actual past experience of policies in force at specified intervals of time or from an informed judgment of a person who has had experience in the field.
In the accident and health insurance business generally a block of accident and health insurance in force has an average rate of lapse of from 3 1/2 to 5 1/2 years. Whether the average rate of lapse tends toward 3 1/2 or 5 1/2 years depends on the various factors that tend to influence lapse rates. An average rate of lapse of 7 years for a block of accident and health insurance is greater than the average and the probability of an average rate of lapse exceeding 7 years is small, even considering unknown or estimated variables.
The lapse rate is higher in the earlier years of the policy especially where there has been a reinsurance transaction and an assumption certificate issued to a policyholder.
Lapse rates diminish as the service provided by an insurance company improves. Insurance companies generally attempt to determine the reason for the insured's voluntarily permitting the policy to terminate so that if the reason is of1975 U.S. Tax Ct. LEXIS 90">*112 a nature that can be remedied by the company, the necessary action may be taken.
There are no generally accepted lapse or persistency tables for accident and health insurance in the insurance industry. Whether policies are in the nature of cancelable, guaranteed renewable, or noncancelable, or have reserves in addition to unearned premium reserves attributed to them does not affect lapse rates. But a particular insured is inclined to buy a certain type of accident and health insurance whether it is cancelable, guaranteed renewable, or noncancelable, and the insured's occupation, place of residence, income, and other factors peculiar to the insured do affect lapse rates. Due to these factors noncancelable 64 T.C. 807">*817 policies generally have a longer life than guaranteed renewables, and guaranteed renewables a longer life than cancelable.
A block of insurance in force may be actuarily valued based on such factors as the renewal provisions, the policyholder's age at issue, the policy durations that remain in the block of business in force at the time of the valuation, the premium structure, the benefits provisions, an interest assumption, a discount assumption, overhead expenses, and1975 U.S. Tax Ct. LEXIS 90">*113 lapse rates, the latter being a necessary element of the valuation. The value of a block of insurance in force is negligible after 10 years due to discount factors, including the lapse rate. These factors are considered by the purchaser and seller in negotiating the premium to be paid in acquiring accident and health policies in force, the price agreed upon usually being expressed as a multiple of the monthly premium in force.
Union claimed deductions for amortization of the premium paid in connection with each of the aforementioned reinsurance transactions on its Federal income tax returns for its taxable years 1960 to 1967, inclusive, as follows:
Year | Amount |
1960 | $ 109,745.36 |
1961 | 97,376.79 |
1962 | 179,240.95 |
1963 | 215,467.35 |
1964 | $ 384,839.19 |
1965 | 410,739.26 |
1966 | 339,519.23 |
1967 | 304,373.95 |
Union claims additional deductions for amortization in the amounts of $ 124,506 and $ 145,320 for its 1966 and 1967 taxable years with respect to its acquisition of business from State Insurance Co. of Tennessee.
Respondent in his notice of deficiencies to Union disallowed the amounts of the above-claimed amortization deductions during 1960 through 1967 except for those with1975 U.S. Tax Ct. LEXIS 90">*114 respect to the acquisitions from Universal Guaranty Insurance Co. and from Bankers for 1962, 1963, and 1964, as follows:
Year | Amount |
1960 | $ 109,745.36 |
1961 | 97,376.79 |
1962 | 97,376.79 |
1963 | 97,376.79 |
1964 | $ 97,376.79 |
1965 | 410,739.26 |
1966 | 339,519.23 |
1967 | 304,373.95 |
Respondent explained that the cost of acquiring the accident and health policies is not deductible as a commission expense nor 64 T.C. 807">*818 amortizable as the taxpayer was a casualty company at the time it acquired the accident and health policies and it has not been shown that certain accident and health policies which were amortized were noncancelable or guaranteed renewable in accordance with
OPINION
Union for its taxable years 1961 through 1967 and Bankers for its taxable year 1963 were life insurance companies within the meaning of section 801 and taxable under section 801 et seq. Union for its taxable year 1960 was an insurance company other than a life insurance company within the meaning of section 831 and was taxable under section 831 et seq. for that year.
The parties agree that Union pursuant to a statutory merger within 1975 U.S. Tax Ct. LEXIS 90">*115 the meaning of section 368(a)(1)(A) is the transferee at law of all of the assets and liabilities of Bankers, including its Federal income tax liabilities, and that the Federal income tax of Bankers for its taxable year 1963, if any, as determined by us may be assessed against Union as transferee.
The parties recognize that the acquisition by Bankers of the class B preferred stock of Union from General was governed by
Petitioners contend that, if a shareholder of a parent corporation sells shares of the parent's stock to a subsidiary corporation controlled by the parent,
It is respondent's position that
Under the Life Insurance Company Income Tax Act of 1959, the provisions of which are contained in subchapter L, part I, sections 801-820, life insurance company taxable income under section 802(b) is determined by adding the amounts of taxable 64 T.C. 807">*820 income as determined in each of three phases. The first phase, taxable investment income, determines the amount of the life insurance company's share of its net investment income. The second phase, gains from operations, determines an amount equal to half of the amount of the life insurance company's share of gains from operations which mostly consist of underwriting gain, that is, mortality and loading savings. If the life insurance company's share of gains from operations exceeds its share of taxable investment income, then only the former amount is1975 U.S. Tax Ct. LEXIS 90">*119 included under phases I and II. The third phase, tax on distributions of previously deferred underwriting gain, determines the amount of distributions by the life insurance company to shareholders in excess of previously taxed income. (Sec. 802(b).)
Under section 804(a)(2), phase I taxable investment income consists of the life insurance company's share of each and every taxable or nontaxable item of investment yield, which is defined under section 804(b) and (c) as the life insurance company's gross investment income which includes dividends received less certain investment expenses, reduced in part by the dividends received deduction determined with respect to the life insurance company's share of dividends received. "This reflects a recognition 'that life insurance companies are legally obligated to keep policyholder reserves in order to meet future claims, that they normally add a significant portion of their investment income to these reserves, and that these annual reserve increments should not be subjected to tax.'" (Citations omitted.)
Under section 809(b), phase II gain from operations1975 U.S. Tax Ct. LEXIS 90">*120 consists of the total gross receipts of the life insurance company, which in part includes the life insurance company's share of each and every item of investment yield which we have noted includes dividends received, reduced by certain deductions under section 809(d) including the dividends received deduction determined with respect to the life insurance company's share of dividends received. Since the amount of taxable investment income has already been included in life insurance taxable income under phase I, such amount is deducted from the amount of the gains from operations and one-half of the balance is included in life insurance taxable income under phase II. The inclusion of only half of the gains from operations in life insurance company taxable income and conversely the deferral of tax for the other 64 T.C. 807">*821 half recognizes the difficulty in determining true underwriting gains on an annual basis because of the long-term and contingent nature of life insurance contracts.
The life insurance company's share of investment yield is the balance after accounting for the policyholders' share, and the ratio of the policyholders' share of investment yield to the investment yield1975 U.S. Tax Ct. LEXIS 90">*121 determines the percentage that is applied to each item of investment yield which results in an amount representing the amount of an item excluded. The policyholders' share under phase I and phase II is computed somewhat differently. Under phase I the policyholders' share is determined by dividing the company's investment yield by the assets of the company. This percentage, which is subject to some downward modification if the percentage is lower in the prior 4 years, represents the actual earnings rate of the company and is applied to the amount of the company's adjusted life insurance reserves for policyholders. This amount plus certain additions for certain interest paid and pension plan trusts represents the amount excluded from the life insurance company's investment yield under phase I. Under phase II the policyholders' share of investment yield is calculated by applying the interest rates assumed by the company in setting up its reserves to the adjusted life insurance reserves for policyholders plus reserves for supplemental contracts without life contingencies. See
Under
Initially we must decide whether by virtue of
1975 U.S. Tax Ct. LEXIS 90">*128 Plainly the device of selling the parent's stock to its subsidiary to take advantage of the benefits of capital gains rates which indirectly operated as a redemption of the parent's stock that if done directly would have been taxed as a dividend, being a distribution in redemption that was essentially equivalent to a dividend, was prohibited under
The general rule of present law, preserved in the parent-subsidiary area, is set forth in paragraph (2). Under this rule, supplemented by subsection (b)(2)(B), if a subsidiary corporation purchases outstanding stock of its parent the proceeds of such sale shall be considered to be first a distribution by the subsidiary to the parent and then immediately thereafter a distribution by the parent corporation in redemption of its own stock.
S. Rept. No. 1622, to accompany H.R. 8300, 83d Cong., 2d Sess. 239 (1954).
1975 U.S. Tax Ct. LEXIS 90">*134 Petitioner has emphasized the language of
In our view the "as if" language used in the statute and regulations does not imply that there is no constructive distribution to the parent but indicates that, with respect to the amount of the actual distribution from the subsidiary which is a dividend to the shareholder, the earnings of the parent available for distribution include the distribution of property which had in fact been made by the subsidiary to the selling shareholder. While it could be argued that
We note that to accept petitioners' contentions that
Having determined that there was a constructive distribution from Bankers to Union by virtue of Union having redeemed Union's stock pursuant to
1975 U.S. Tax Ct. LEXIS 90">*138 The next question is whether the constructive distribution from Bankers and the distribution in redemption from Union 64 T.C. 807">*829 generated a phase III tax to either or both Bankers and Union. Under section 802(b) life insurance company taxable income includes under phase III "the amount subtracted from the policyholders' surplus account" as determined under
1975 U.S. Tax Ct. LEXIS 90">*140 We have determined that Bankers constructively made and Union constructively received a distribution which was taxable as a dividend to the extent of Bankers' earnings and that Union made a distribution to General in redemption of Union's stock pursuant to
The amount that Bankers paid General for its Union shares, which we have determined was constructively distributed by Bankers and constructively received by Union and taxable as a dividend to Union to the extent of Bankers' earnings, was a distribution of property from Bankers to Union within the 64 T.C. 807">*831 meaning of
We agree with petitioners that1975 U.S. Tax Ct. LEXIS 90">*142 Congress intended to exact a tax when a life insurance company makes a distribution of amounts of untaxed income which it has determined are not required to be retained to fulfill future contractual liabilities arising out of its insurance policies. However, the incidence of taxation depends on whether there has been a distribution out of the policyholders surplus account, that is, a distribution in excess of previously taxed income.
The final issue for decision is whether Union is entitled to deductions for the taxable years here at issue for amortization of the cost of blocks of accident and health insurance policies in force that it acquired from other insurance companies pursuant to reinsurance assumption agreements and for which it paid a premium.
Union claimed deductions by amortizing the cost of each of its acquisitions over 7 years with 20 percent of the cost deducted in the first year and the balance proportionately deducted in the remaining 6 years. 1975 U.S. Tax Ct. LEXIS 90">*143 It is Union's position that pursuant to
1975 U.S. Tax Ct. LEXIS 90">*144 Respondent's position is that the cost of acquiring blocks of accident and health insurance policies is not subject to an allowance for amortization. He argues blocks of accident and health insurance policies have an indeterminate useful life, relying on
Section 809(d)(12) provides that a life insurance company is entitled to 1975 U.S. Tax Ct. LEXIS 90">*145 deduct from its gains from operations (section 809(b)(1)) all deductions subject to stated modifications, provided for in computing taxable income under subtitle A to the extent such deductions are not allowed in computing investment yield. 10 Such deductions include amounts representing the amortization over the reasonably estimated useful life of the contracts of a premium paid by a reinsurer under an assumption reinsurance agreement to the reinsured. Without an explicit regulation the fact that such a deduction was intended under section 809(d)(12) would be reasonably clear since amortization of amounts paid to acquire intangible assets has uniformly been held to be an allowable deduction in the computation of a taxpayer's taxable income where the intangible asset has a reasonably ascertainable useful life. However, in connection with interpreting section 817 dealing with certain capital transactions by life insurance companies, respondent's regulations specifically provide for such an amortization deduction and define 64 T.C. 807">*833 "reasonably estimated life" as the period during which the contract reinsured remains in force based on the facts in each case.
1975 U.S. Tax Ct. LEXIS 90">*147 This regulation does not refer only to life insurance contracts but refers to contracts of a "particular type" reinsured by a life insurance company. Under section 801(a) and (e) 12 a life insurance company is defined as an insurance company engaged in the business of issuing life insurance and annuity contracts, or noncancelable contracts of health and accident insurance 64 T.C. 807">*834 (including guaranteed renewable) if its life insurance reserves plus unearned premiums, and unpaid losses on its life, health, and accident policies not included in such reserves comprise more than 50 percent of its total reserves.
1975 U.S. Tax Ct. LEXIS 90">*148 Because a life insurance company does not issue or acquire only life insurance policies, it seems logical that when the regulation refers to "contracts of a particular type," it must intend to include any type contract or policy which a life insurance company might issue or acquire. In the light of the provision of
While respondent's regulations,
Even though no limitation is placed by respondent in
Respondent bases his argument almost entirely on the provisions of his
1975 U.S. Tax Ct. LEXIS 90">*151 64 T.C. 807">*836 It is well settled that revenue rulings do not have the force and effect of Treasury Department regulations and are not binding on the courts.
However, a noncancelable level premium accident and health insurance policy which may not be terminated by the insurance company has an increasing risk as the insured becomes more infirm due to the passing of time. Consequently, a reserve in addition to unearned premium reserve may be set up to fund the company's anticipated liabilities under this type of accident and health contract. Investment income is derived from this reserve. It is not until the obligations under a noncancelable accident and health contract, like a life insurance contract, are fulfilled that the amount of underwriting and investment income of the insurance company can be accurately ascertained. Consequently, in 1942 Congress equated noncancelable accident and health insurance contracts with life insurance contracts in determining the insurance company's taxable status.
The transaction described under
Respondent's reliance on
1975 U.S. Tax Ct. LEXIS 90">*159 For the above reasons, we conclude that the premium paid by a reinsurer to acquire cancelable, guaranteed renewable, and noncancelable accident and health insurance policies that is apart from goodwill is subject to amortization over the reasonably estimated useful life of the contracts acquired where, from the facts shown in the record, such a reasonably estimated useful life is determinable. In our view the right as a matter of law of life insurance companies to amortize premiums paid for cancelable, guaranteed renewable, and noncancelable policies does not differ from the right of a life insurance company to deduct the premiums paid to acquire industrial life and ordinary life policies. We upheld the request of a life insurance company to 64 T.C. 807">*840 such an amortization deduction in
1975 U.S. Tax Ct. LEXIS 90">*160 Goodwill is the expectancy that customers, for whatever reason, will indefinitely continue to patronize a business with which they have developed a business relationship.
On the basis of the facts in this case we conclude that the blocks of insurance were not assets in the nature of goodwill with an indeterminate useful life and that no part of the premium paid to acquire these contracts was paid for goodwill or any asset in the nature of goodwill.
The record in this case demonstrates that none of the consideration paid for the contracts1975 U.S. Tax Ct. LEXIS 90">*161 reinsured represented payment for goodwill. The purchase price was based on a fixed formula of a multiple of the monthly premium in force which did not include any value for goodwill and the parties to the reinsurance transaction bargained at arm's length without considering goodwill. There was no transfer of an entire going concern or sale of the name or use of the location of the business. We do not attach any significance to the few employees of the reinsureds who ultimately were employed by Union as there is no evidence either that they were instruments for transferring the goodwill of the reinsured or that their employment was contemplated at the time of the bargain between the reinsureds and Union.
Union acquired a productive asset of the reinsureds. The value of this asset was not in any preexisting business relationship 64 T.C. 807">*841 between the reinsureds and their policyholders. In fact, there is some doubt whether there was a substantial relationship between the reinsureds and their policyholders since insurance policies are usually sold by an agency force and it is that relationship to which any goodwill which might be generated will inure.
In
While the transfer of the blocks of insurance in force does serve some collateral soliciting function for the reinsurer with respect to new business which might result from others acquainted with the policyholders of the policies reinsured or from such policyholders1975 U.S. Tax Ct. LEXIS 90">*163 themselves, on the basis of this record we conclude that any continuing advantage which Union might have obtained in the nature of goodwill was de minimis. It is clear that the transfer of the contracts and the termination of business operations by the reinsureds except Republic was not expected to result, nor did it result, in Union's establishing a self-generating accident and health insurance business that was directly or indirectly derived from the ceding companies. In other words, under the facts of the instant case, there was not the generation of new business from the reinsured contracts which might be considered to be in the nature of continuing goodwill. The primary asset acquired by Union was the possible retention of business existing at the time of the reinsurance transaction. This asset necessarily diminished as a policyholder declined to renew his policy. Cf.
Having established the cost of the blocks of insurance is separate and distinct from goodwill, Union must still establish that the policies within the blocks of insurance acquired have a limited useful life which is reasonably ascertainable. 17 To carry its burden Union must show with reasonable certainty or reasonable accuracy the period during which the contracts reinsured would reasonably be expected to remain in force based on the facts with respect to the policies it acquired, and its experience as to lapse rate, with similar risks.
1975 U.S. Tax Ct. LEXIS 90">*165 Where there are a great many contracts involved, the extent of this period may be shown by the estimated average life of the contracts included in the various components of the insurance business reinsured.
In the instant case the record reveals that Union's experience was that a block of accident and health insurance consisting of cancelable, noncancelable, and guaranteed renewable policies had an anticipated average useful life of 7 years weighted in favor of the first year to the extent of 20 percent with the balance spread equally over the 1975 U.S. Tax Ct. LEXIS 90">*167 remaining 6 years. Union's president, who negotiated the purchase of each of its acquisitions, testified that this average useful life was based on Union's experience and was supported by industry experience wherein a 7-year average runoff was established as being fair. Union's management used a 7-year average useful life to determine whether the persistency was that which they had contemplated when Union acquired the blocks of insurance so that it would realize its anticipated profits and, if the business was not within the norm, they tried to determine the reason for it. Union's president testified that Union did not exercise its right to cancel a policy in those instances where the policy Union acquired was cancelable. Union's actuarial expert, who was imminently qualified having been associated with the insurance industry for 23 years, testified that the lapse of each policy is a function of different variables and that actuarily the lapse of cancelable, guaranteed renewable, and noncancelable accident and health policies can be projected within a particular range at the time of acquisition with a reasonable degree of certainty. However, where essential data is nonexistent1975 U.S. Tax Ct. LEXIS 90">*168 within a company, he forms a judgment with respect to lapse based on his experience in the industry. Depending on the various unknown variables, some of which cause lapse of cancelable, guaranteed 64 T.C. 807">*844 renewable, and noncancelable policies to differ, he testified that generally the expected average lifetime of a block of accident and health insurance "would be somewhere from about three and a half years up to about five and a half years," with a greater tendency to lapse in the first year when the policyholder receives an assumption certificate from the reinsurer. He stated that the probability of a 7-year average life exceeding the actual average life was "close to one hundred percent" and in all likelihood the average duration of the policies acquired would not approach 7 years but would be much shorter. Based on information given him as to the policies Union acquired in its insurance assumptions, this expert considered a 7-year amortization period for the premium paid as being based on a very fair estimated useful life. The present economic value of policies within a block of accident and health insurance that will remain in force for 10 to 15 years is approximately 1 1975 U.S. Tax Ct. LEXIS 90">*169 percent of the value of the block and policies which will continue beyond that time have almost no impact on the value of a block of insurance as of the date of valuation. Even accounting for the interest discount factor this small value is indicative of how few policies would be continuing after 10 years from the date a block of insurance is acquired. Having reviewed Union's actual experience with respect to the blocks of accident and health insurance that it had acquired, the actuary testified that the useful lives of these policies fall within the range that he and other actuaries known to him had experienced in the past.
After 7 years Union's experience, 18 based on all of its reinsurance acquisitions but for State Insurance Co. of Tennessee (State) for which statistical experience was incomplete, had been that between approximately 74 to 86 percent of the reinsured policies within each such block terminated except for Old National Insurance Co. (Old National). With respect to State and Old National, approximately 79 percent of the reinsured policies of the former had terminated after 6 years and approximately 60 percent of the reinsured policies of the latter had terminated1975 U.S. Tax Ct. LEXIS 90">*170 after 7 years. After 4 years, 62 to 74 percent of the reinsured 64 T.C. 807">*845 policies in each block had terminated but for the blocks acquired from Universal Guaranty Insurance Co. and Old National of which approximately 50 percent of the policies within each had terminated. The available statistical data suggests that after 10 years approximately 85 to 92 percent, after 2 years approximately 35 to 60 percent, and after 1 year at least 20 percent of the policies within each block of insurance had terminated. While the actual annual rate of attrition was not totally consistent among the blocks of insurance Union acquired, it is clear that the rate was highest in the first year, and in no instance was this first year lapse rate less than 20 percent. The evidence also shows that the lapse rate decreased in each passing year after a block of insurance was reinsured under an assumption agreement. The lapse for cancelable, guaranteed renewable, and noncancelable policies within a block of insurance showed that cancelable had a slightly higher lapse than guaranteed renewable, and guaranteed renewable had a slightly higher lapse than noncancelable. However, the statistical experience suggests1975 U.S. Tax Ct. LEXIS 90">*171 that factors other than the relative numbers of cancelable, guaranteed renewable, and noncancelable policies within a block had a more significant impact on lapse than did the number of policies of each type. In comparing the differences in the rate of lapse of one block of insurance with another there was no pattern to indicate that a predominantly noncancelable and/or guaranteed renewable block of insurance had a longer average life than a predominantly cancelable block of insurance.
1975 U.S. Tax Ct. LEXIS 90">*172 Respondent's expert actuary who had almost 15 years' experience with the insurance industry testified that an estimate of the useful life of a block of accident and health insurance at the time of its acquisition may only be determined by intercompany experience, industry experience, and one's own experience in similar situations. He in effect admitted that an estimate of a 7-year average useful life for a block of accident and health insurance was not contrary to his experience.
In our view Union has demonstrated that it had no expectation at the time of each acquisition to cancel any policies within a block of insurance which it had the right to cancel or to alter its premium rate structure and its coverage where it could in such a manner as not to conform to the industry norm, thereby reducing the average useful life of a block of insurance. In fact, Union did not cancel any policies it could and its policy is not to cancel such 64 T.C. 807">*846 policies. There is no evidence that Union changed its rates or coverage so that they were not in harmony with those of the industry and the record suggests that Union's management was conscious of trying to determine whether any of their practices1975 U.S. Tax Ct. LEXIS 90">*173 were not consistent with prolonging the life span of a block of insurance for as long as possible and changing those which were not.
Here the record as a whole shows that the reinsured contracts within each block of accident and health insurance would terminate on the average over a 7-year period with at least 20 percent terminating in the first year following the date of the acquisition and the balance terminating relatively consistently over the next 6 years. Therefore, we conclude, based on the facts of this case and Union's experience in reinsuring blocks of accident and health insurance, that each block of insurance had a limited useful life which approximated 7 years. Accordingly, we hold that Union is entitled to amortize the cost of acquiring each of its blocks of accident and health insurance over 7 years with 20 percent of the cost deducted in the first year after the acquisition and the balance deducted equally over the next 6 years.
1. All references are to the Internal Revenue Code of 1954 unless otherwise indicated.↩
2. Prior to Dec. 31, 1962, actual figures were available only for total monthly premium in force. Consequently, the relative percentages of the types of insurance in force before Dec. 31, 1962, were actuarily calculated on the basis of the average premium per policy and the relative percentage by type as of Dec. 31, 1962.↩
3. Actual figures were available for total policy count on Jan. 1, 1962. Consequently, the relative percentages of the types of insurance in force on Jan. 1, 1962, were determined on the basis of the relative percentage by type on Dec. 31, 1962.↩
4. Although Union converted to guaranteed renewable, the Bankers' insurance policies in force that it acquired which were cancelable, Union maintained a statistical analysis that characterized a significant number of policies after their acquisition as other than guaranteed renewable and noncancelable which we disregarded.↩
5. These figures are based on the acquisitions of Apr. 15 and Sept. 1, 1965. Prior to Dec. 31, 1965, actual figures for policy count by type were available only for the acquisition of Apr. 15, 1965. Consequently, the percentage of the policy count by type for both acquisitions was actuarily calculated on the basis of percentage of policy count by type of the acquisition of Apr. 15, 1965.↩
6. Union converted the cancelable policies in force that it acquired in this transaction to guaranteed renewable.↩
1. The percentage of the total number of policies in force and the percentage of the relative types of policies in force are slightly distorted due to Medicare endorsements issued on existing policies which were treated as new policies and to changes in policy codes so that a particular policy previously classified as one type became classified as another.↩
2. H. Rept. No. 2319, to accompany H.R. 8920, 81st Cong., 2d Sess. 53 (1950), states in part as follows:
"If the stockholders of a corporation which owns all the stock of a subsidiary corporation obtain cash from that subsidiary, in effect they have received a dividend to the same extent as would be the case if the cash had been paid by the subsidiary to the parent corporation and had then been distributed by the parent to the stockholders. And where such stockholders 'sell' part of their stock in the parent corporation to the subsidiary they nevertheless retain ownership and control of both corporations, since the 'sold' stock is one of the assets which the parent corporation owns by virtue of its possession of all the stock of the subsidiary. Therefore, section 207 of your committee's bill
S. Rept. No. 2375, to accompany H.R. 8920, 81st Cong., 2d Sess. 82 (1950), states in part as follows:
"The amendment made by this section of the bill would add a new paragraph (2) to
"Under the amendment, where stock of a parent corporation is acquired by a subsidiary,
3. (A) in return for property, one corporation acquires from a shareholder of another corporation stock in such other corporation, and (B) the issuing corporation controls the acquiring corporation,↩
4.
5.
Acquisition by a subsidiary.
(a) If a subsidiary acquires stock of its parent corporation from a shareholder of the parent corporation, the acquisition of such stock shall be treated as though the parent corporation had redeemed its own stock. For the purpose of this section, a corporation is a parent corporation if it meets the 50 percent ownership requirements of
6. SEC. 804(b). Gross Investment Income. -- For purposes of this part, the term "gross investment income" means the sum of the following: (1) Interest, etc. -- The gross amount of income from -- (A) interest, dividends, rents, and royalties, * * *↩
7.
(a) General Rule. -- For purposes of this section and section 802(b)(3), any distribution to shareholders after December 31, 1958, shall be treated as made -- (1) first out of the shareholders surplus account to the extent thereof, (2) then out of the policyholders surplus account, to the extent thereof, and (3) finally out of other accounts.↩
8.
(a)
(b)
(i) Distributions shall be treated as first being made out of the shareholders surplus account (as defined in
(ii) Once the shareholders surplus account has been reduced to zero, distributions shall then be treated as being made out of the policyholders surplus account (as defined in
(iii) Finally, any distributions in excess of the amounts in the shareholders surplus account and the policyholders surplus account shall be treated as being made out of other accounts (as defined in sec. 1.815-5).
(2) For purposes of subparagraph (1) of this paragraph, in order to determine whether a distribution (or any portion thereof) shall be treated as being made out of the shareholders surplus account, policyholders surplus account, or other accounts, the amount in such accounts at the end of any taxable year shall be the cumulative balance in such accounts at the end of the taxable year, computed without diminution by reason of a distribution (or any portion thereof) during the taxable year which is treated as being made out of such accounts. * * *
* * *
(c)
9. This regulation is with respect to computation of tax by a life insurance company. Union was a life insurance company for all years here in issue except 1960. Although respondent in his notice of deficiency assigns as one reason for disallowing the deductions for amortization by Union that it was a casualty company when the contracts were acquired, in his brief respondent makes no point of the change of Union's status to a life insurance company beginning in 1961. The facts show that some of the policies acquired by Union at a premium were acquired before 1961 and some after. However, the record is clear that except for the year 1960, during the years here in issue Union was a life insurance company under sec. 801 and its Federal income tax is computed as such.↩
10. SEC. 809(d)(12). Other deductions. -- Subject to the modifications provided by subsection (e), all other deductions allowed under this subtitle for purposes of computing taxable income to the extent not allowed as deductions in computing investment yield.↩
11.
(d)
(2)(i) The consideration paid by the reinsured to the reinsurer in connection with a transaction described in subparagraph (1) of this paragraph shall be treated as an item of deduction under section 809(d)(7). However, any amount received by the reinsured from the reinsurer shall be applied against and reduce (but not below zero) the amount of such consideration, and to the extent that it exceeds such consideration, shall be treated as an item of gross amount under section 809(c)(3).
(ii) In connection with an assumption reinsurance (as defined in paragraph (a)(7)(ii) of sec. 1.809-5) transaction, a reinsurer shall in any taxable year beginning after December 31, 1957 --
(a) Treat the consideration received from the reinsured in any such taxable year as an item of gross amount under section 809(c)(1), and
(b) Treat any amount paid to the reinsured, to the extent such amount meets the requirements of section 162, as a deferred expense under section 809(d)(12) and amortize such amount over the reasonably estimated life (as defined in subdivision (iii) of this subparagraph) of the contracts reinsured, irrespective of the taxable year in which such amount was paid to the reinsured.
(iii) For purposes of this subparagraph, the term "reasonably estimated life" means the period during which the contract reinsured remains in force. Such period shall be based on the facts in each case (such as age, health, and sex of the insured, type of contract reinsured, etc.) and the assuming company's experience (such as mortality, lapse rate, etc.) with similar risks.↩
12. SEC. 801. DEFINITION OF LIFE INSURANCE COMPANY.
(a) Life Insurance Company Defined. -- For purposes of this subtitle, the term "life insurance company" means an insurance company which is engaged in the business of issuing life insurance and annuity contracts (either separately or combined with health and accident insurance), or noncancellable contracts of health and accident insurance, if -- (1) its life insurance reserves (as defined in subsection (b)), plus (2) unearned premiums, and unpaid losses (whether or not ascertained), on noncancellable life, health, or accident policies not included in life insurance reserves,
* * *
(e) Guaranteed Renewable Contracts. -- For purposes of this part, guaranteed renewable life, health, and accident insurance shall be treated in the same manner as noncancellable life, health, and accident insurance.↩
13.
Advice has been requested whether the consideration paid by a life insurance company in acquiring a block of cancellable accident and health policies under an assumption reinsurance agreement may be treated as a deferred expense under
Under an assumption reinsurance agreement effective December 31, 1967, X life insurance company ceded to Y life insurance company all of its cancellable accident and health policies in force. Pursuant to each such agreement, Y became solely liable to the policyholders on the policies assumed, and the relationship between X (the original insurer) and the policyholders was terminated. On the policies transferred to Y there were unearned premiums of 20x dollars at December 31, 1967. The purchase price (consideration) paid by Y to X was three times the unearned premiums. Both X and Y are taxable as life insurance companies for Federal income taxes under Part I of Subchapter L of the Internal Revenue Code of 1954.
Generally, cancellable health and accident contracts are issued for a period of 12 months or less. Moreover, the insurer is not under an obligation to renew or continue the policy at specified premiums as is the case with long term life insurance or noncancellable health and accident insurance contracts or as in the case of guaranteed renewable health and accident insurance contracts where the premium may be adusted but only by classes. Unlike life insurance, noncancellable health and accident, or guaranteed renewable health and accident insurance, cancellable contracts give the insurer the right, in its uncontrolled discretion, to raise the premium rates on individual policies, to alter the scope of the coverage, or to cancel the contract. Thus, not being long term contracts, nothing more than unearned premiums were maintained by X with respect to the contracts reinsured.
"(1) For any taxable year beginning after December 31, 1958, the reinsurance of all or a part of the insurance contracts of a particular type by a life insurance company * * *, whereby the reinsuring company or companies assume all liabilities under such contracts, shall not be treated as the sale or exchange of a capital asset but shall be subject to the provisions of sections 806(a) and 809 and the regulations thereunder. * * *
"(2) * * *
"(ii) In connection with assumption reinsurance * * *, a reinsurer shall in any taxable year beginning after December 31, 1957 --
* * *
"(b) Treat any amount paid to the reinsured, to the extent such amount meets the requirements of section 162, as a deferred expense under section 809(d)(12) and amortize such amount over the reasonably estimated life * * * of the contracts reinsured * * *.
"(iii) For purposes of this subparagraph, the term 'reasonably estimated life' means the period during which the contract remains in force. Such period shall be based on the facts in each case (such as age, health, and sex of the insured, type of contract reinsured, etc.) and the assuming company's experience (such as mortality, lapse rate, etc.) with similar risks."
The above regulations are applicable in the situation of the acquisition of long term contracts. The particular types of contracts referred to are those which necessitate the maintenance of life insurance reserves for which adjustment must be made, together with adjustment of the assets, under section 806(a) of the Code. Such contracts can be subject to a "reasonably estimated life" as defined because they have a life longer than one year and the acquiring company's experience with regard to mortality, lapse rates, etc. is meaningful. That is not the case, however, in the assumption of cancellable health and accident where the acquiring insurance company "* * * could cancel high risk policies, which would cause a high termination rate in early years followed by a low termination rate in later years. In addition, changes in the rate structure and coverage, if atypical of action by the insurance industry generally, would have a substantial impact on lapse rates. * * * reflects perhaps an inherent obstacle to the amortization of cancellable health and accident policies."
In considering the particular type of contract subject to assumption reinsurance, there is no reason why there would be any different result simply because cancellable health and accident contracts are acquired by a life insurance company subject to tax imposed by section 802 of the Code rather than by an insurance company subject to tax imposed by section 831 of the Code.
Accordingly, it is held that the consideration paid by Y to acquire cancellable accident and health contracts may not be treated as a deferred expense under
14. See also
15. Respondent's only argument with respect to the noncancelable and guaranteed renewable policies, other than the contention that petitioner has failed to prove the reasonable estimated useful life of the policies acquired, is that since Texas law does not require a reserve in addition to an unearned premium reserve for these policies, their cost is not properly amortizable. Respondent does not contend that the
16. Respondent in his brief states:
"If it be assumed that the reinsured policies had no value beyond their termination, petitioner would be entitled to amortize the policies over any period that it was able to establish by acceptable evidence to be the average life of the policies. * * *"
In our view this is in effect a concession by respondent that the issue here is one of fact although in other portions of his brief he argues that as a matter of law cancelable policies are not amortizable.↩
17. The issuance of the same or another type of insurance policy to the policyholders of the policies reinsured and to the family and friends of such policyholders does not preclude the contracts reinsured from having a determinable useful life.
18. Respondent questions the probative value of Union's actual experience as it revealed no termination pattern to determine a useful life, and failed to disclose the reasons which caused policies within a block of insurance to terminate. While this evidence does not itself establish a useful life of the blocks of insurance which could reasonably be estimated when the policies were acquired it does corroborate an otherwise established average useful life of 7 years. See our comment in