1985 U.S. Tax Ct. LEXIS 5">*5
ASMG, a medical professional corporation, established trust to provide protection for malpractice claims resulting from acts of ASMG's employees.
85 T.C. 1031">*1031 Respondent determined the following deficiencies in petitioners' Federal income taxes:
Petitioner | Year | Deficiency |
Anesthesia Service Medical | 1974 | $ 4,155 |
Group, Inc. (ASMG) | 1976 | 1,411 |
Docket No. 13936-83 | 1977 | 207,313 |
1978 | 264,619 | |
1979 | 144,762 | |
Anesthesia Service Medical | 1977 | 332,602 |
Group, Inc. Employee | 1978 | 358,606 |
Protective Trust (trust) | 1979 | 289,720 |
Docket No. 13935-83 |
By1985 U.S. Tax Ct. LEXIS 5">*11 amended answer respondent determined increased deficiencies in tax of petitioner ASMG of $ 300 for 1978 and $ 27,601 for 1979. The issues for decision are as follows: (1) Whether petitioner ASMG may deduct contributions made to petitioner trust; (2) whether petitioner trust was a Voluntary Employees' Beneficiary Association; (3) whether petitioner trust is taxable as an insurance company; (4) whether petitioner trust constituted 85 T.C. 1031">*1032 an association or a trust for tax purposes; and (5) whether petitioner trust was a grantor trust.
FINDINGS OF FACT
Some of the facts have been stipulated and are so found. The stipulation of facts and exhibits attached thereto are incorporated herein by this reference.
Petitioner Anesthesia Service Medical Group, Inc. (ASMG), is a California professional corporation incorporated on April 16, 1970, and having its principal place of business in San Diego, California. ASMG maintained its books and records and filed its Federal income tax returns on the cash method of accounting and the calendar year.
Petitioner Anesthesia Service Medical Group, Inc., Employee Protective Trust (the trust) is a trust established in California on December 31, 1976. 1985 U.S. Tax Ct. LEXIS 5">*12 The trust maintained its books and records and filed returns (reporting an exemption from income tax under
ASMG's principal activity was the rendition of anesthesiology services to patients through its physician employees, primarily at eight San Diego County hospitals. ASMG recruited prospective physician employees primarily from medical schools, teaching institutions, and the military. To maintain employment with ASMG, a physician had to be accepted as a diplomate of the American Board of Anesthesiology within 78 months from the time of initial employment with ASMG.
The number of physician employees of ASMG ranged from 49 in 1974 to 56 in 1979. The number of nonphysician employees of ASMG ranged from 26 in 1974 to 34 in 1979.
After 2 years of employment with ASMG, a physician became entitled1985 U.S. Tax Ct. LEXIS 5">*13 to purchase 1 share of ASMG stock. The number of outstanding shares ranged from 43 in 1974 to 52 in 1979. Outstanding shares were owned only by physician employees actively practicing anesthesiology, and no shareholder owned more than 1 share.
Various factors necessitated that ASMG maintain protection covering malpractice acts of its employees. The hospitals 85 T.C. 1031">*1033 served by ASMG and third-party health care providers, such as Aetna and Blue Cross, required that physicians carry malpractice insurance or similar financial protection. The San Diego County Greater Health Plan, a group of physicians organized in 1978 to provide health insurance to employers and their employees and of which ASMG was a member, required all members to provide malpractice protection. Under regulations promulgated by the California Board of Medical Quality Assurance, all shareholders of a professional corporation with more than three shareholders were jointly and severally liable for professional negligence claims against the corporation to the extent of $ 150,000 per claim or $ 450,000 for all claims per year, unless the corporation possessed malpractice insurance or other security in such amounts. 1985 U.S. Tax Ct. LEXIS 5">*14 ASMG would have been unable to employ highly qualified physicians unless it provided malpractice protection.
From the date of incorporation through 1976, ASMG purchased commercial malpractice insurance covering acts of its employees from various independent insurance companies. The annual policies purchased for 1974, 1975, and 1976 provided maximum coverage of $ 5 million per claim and $ 5 million for all claims per year. The cost to ASMG of such policies rose from $ 4,116 per physician employee in 1974 to $ 19,507 per physician in 1976. After receiving a 1977 premium quote of $ 23,076 per physician for a policy providing maximum coverage of $ 1 million per claim and $ 1 million for all claims, ASMG decided, based upon a non-unanimous shareholder vote, to discontinue purchasing commercial malpractice insurance and provide malpractice protection through the trust.
ASMG established the trust on December 31, 1976. The declaration of trust, executed by San Diego Trust & Savings Bank, as trustee (trustee), and ASMG, as trustor, directed trustee to pay, for the benefit of ASMG's employees (not limited to physicians) --
amounts certified for payment in accordance with Trustor's employment1985 U.S. Tax Ct. LEXIS 5">*15 contract by a claims committee appointed by the Board of Directors of Trustor, for liability for claims of medical malpractice which relate to a liability imposed on such beneficiary by law for damages arising out of the performance by such beneficiary of professional services rendered or which should have been rendered during the time such person was an Employee of Trustor * * *. Certification by the Claims Committee shall be conclusive as 85 T.C. 1031">*1034 to the eligibility of the claim for payment and the Trustee shall have no liability because of any payment made in accordance with such certification.
* * * *
The limits of the payments from the Trust for one claim shall be One Million Dollars ($ 1,000,000.00) and said amount shall be the total limit of the payments for all damages exclusive of costs of defense and supplemental payments, arising out of the rendering or failing to render professional services upon which the claim is based, regardless of the number of persons who sustain damages, the number of claims reported or suits filed on account of such damages, or the number of Employees or beneficiaries involved or alleged to be involved therein. * * *
* * * *
If the covered1985 U.S. Tax Ct. LEXIS 5">*16 beneficiary has valid and collectible insurance coverage as to any claim or suit to which this Paragraph A applies, the payment to be made under this Paragraph shall not apply unless and until the limits of liability of such insurance have been exhausted, and then only in an amount necessary to make the total coverage including the insurance, equal to the sum of One Million Dollars ($ 1,000,000.00).
Under the declaration of trust, ASMG's board of directors could direct trustee to purchase a commercial malpractice policy instead of paying the above amounts.
The declaration of trust directed trustee to invest trust assets in "eligible securities" as defined in
ASMG retained the power to amend the terms of the trust, including replacement of trustee and termination of the trust. Under no circumstances, however, could trust assets be distributed to or for1985 U.S. Tax Ct. LEXIS 5">*17 the benefit of ASMG or its employees, except for the payment of malpractice claims or the purchase of malpractice insurance. Upon termination of the trust, trust assets would be distributed to tax-exempt corporations qualifying under
The employment contract between ASMG and its employee physicians for 1977, referred to in the declaration of trust and 85 T.C. 1031">*1035 executed on December 31, 1976, provided that each physician would work exclusively for ASMG and that all accounts receivable for professional services rendered by the physician would be the property of ASMG. Under the contract, ASMG agreed to pay each physician compensation equal to a percentage of the excess of the monthly collections on accounts receivable generated by the physician over $ 1,296. The percentage was 71.3 percent until the physician's compensation exceeded the maximum amount upon which contributions could be made under ASMG's retirement plans and 89.1 percent thereafter. No compensation was payable to the physician, however, when the balance of the accounts receivable attributable to him was less than $ 20,000.
The employment contract also stated:
1985 U.S. Tax Ct. LEXIS 5">*18 Employer [ASMG] has established and agrees to maintain for the benefit of its Employees, a trust to pay on behalf of the Employee, claims of medical malpractice * * *
* * * subject to the one million dollar limitation * * * and only to the extent of funds available, Employer shall provide through a trust agreement for the payment on behalf of the Employee amounts for liability for claims of medical malpractice * * *
After describing the terms of payment contained in the declaration of trust, the contract further provided:
Employer and [physician] Employee recognize that it is not possible to predict or guarantee the sufficiency of any fund or trust to cover the cost of claims of medical malpractice arising during any particular period, and that the Employer's ability to pay compensation to Employee will be affected by Employer's obligation to make contributions to the Trust. The parties hereto, the Employer and each Employee, therefore agree as follows:
(1) The accounting of the Trust established by Employer shall be on a separate fiscal year basis, beginning with the Trust's Fiscal Year 1977. The funds accumulated for that year, less any ultimate tax cost to Employer of providing1985 U.S. Tax Ct. LEXIS 5">*19 the funds in trust, plus the income on the funds as accumulated, less any tax on such income, shall be used to pay the costs (including administrative, defense, settlement, and payment of claims) of the claims covered by this Paragraph 15 which arose out of incidents occurring during that fiscal year. To the extent that such funds are more than sufficient to cover the final costs of claims because of events occurring during that year, the balance of the funds will be carried forward and credited to the next year, and the same process shall be repeated for each succeeding fiscal year. To the extent that the funds for any fiscal year are insufficient to cover the cost of claims because of events occurring during any year, the insufficiency shall be made up as set forth below.
85 T.C. 1031">*1036 (2) In the event of an insufficiency of the funds for any fiscal year to cover the cost of malpractice claims arising out of events occurring during that year, as determined by Employer from time to time, the compensation of each Employee who was employed during that fiscal year shall be adjusted by an amount not to exceed the Employee's gross compensation from Employer for the fiscal year involved, 1985 U.S. Tax Ct. LEXIS 5">*20 determined as provided below, and Employee shall be obligated to repay to Employer the amount of the adjustment in compensation.
(3) The amount of the adjustment to compensation for the Employee for the fiscal year shall be determined by the Board of Directors by dividing the total amount required for that fiscal year by the total number of anesthesiologist Employees who were employed at any time during that year. * * *
(4) The amount of the adjustment shall be due thirty (30) days from the date of mailing of written notice from the Board to the Employee. The amount of any such adjustment shall be a personal obligation of Employee * * *
An amendment to the employment contract, executed on February 3, 1977, limited the payments from the trust for all claims against any one physician to $ 2 million for the year.
ASMG's board of directors dictated the amount of contributions that ASMG made to the trust. At the direction of the board, ASMG made monthly contributions totaling $ 10,000 per physician employee in both 1977 and 1978. In early 1977, ASMG borrowed $ 450,000 from a bank to purchase a certificate of deposit in that amount. ASMG used such certificate as security to avoid the1985 U.S. Tax Ct. LEXIS 5">*21 joint and several liability of its shareholders under the regulation of the California Board of Medical Quality Assurance. By the end of 1977, the trust possessed sufficient assets for such security. ASMG thereupon redeemed the certificate of deposit and repaid the loan. In late 1978, the board decided to continue the $ 10,000 annual contribution per physician but to limit the cumulative contribution to $ 25,000 per physician. Aggregate annual contributions from ASMG to the trust and yearend values of trust assets were as follows:
Year | Contributions | Trust assets |
1977 | $ 498,609 | $ 504,966 |
1978 | 532,497 | 972,258 |
1979 | 328,916 | 1,231,433 |
In early 1977, the board of directors appointed the claims and investment committees created under the declaration of trust. The board selected its president (referred to elsewhere as the president of the corporation), the chairman of the investment 85 T.C. 1031">*1037 advisory committee, ASMG's business administrator, and an independent attorney as the investment committee. The board selected its president, the chairman of the professional standards and review committee, an employee of trustee, and an independent attorney as the claims1985 U.S. Tax Ct. LEXIS 5">*22 committee.
After establishment of the trust, each potential malpractice claim against an employee was referred to the claims committee. The claims committee, with the assistance of legal counsel and the acquiescence of the implicated employee, ultimately decided either to approve payment of the claim or to litigate the claim. ASMG paid all approved claims and submitted monthly statements detailing such claims to trustee. Trustee then reimbursed ASMG for such payments from trust funds. The trust was not licensed as an insurance company by the State of California.
During each of the years in issue, ASMG paid aggregate expenses slightly less than its gross income. Compensation and other benefits to employees, including physician employees who were also shareholders, constituted the majority of such expenses.
From 1976 through 1979, ASMG's total assets ranged between $ 1,072,542 in 1976 and $ 594,114 in 1978. The assets held by the trust were never reflected in ASMG's financial statements; with one immaterial exception, nor were trust assets ever considered in calculating the purchase or redemption price of ASMG shares, which was based upon ASMG's net asset value.
On its Federal1985 U.S. Tax Ct. LEXIS 5">*23 income tax returns for 1977, 1978, and 1979, ASMG deducted as malpractice insurance expense the contributions to the trust.
The trust filed returns for 1977, 1978, and 1979 claiming an exemption from Federal income tax under
In the statutory notice of deficiency sent to ASMG, respondent determined that the amounts deducted by ASMG as malpractice insurance were not paid for ordinary and necessary business purposes. In the statutory notice of deficiency sent to the trust, respondent determined that the trust received taxable income in the forms of malpractice premium payments from ASMG and interest income. In his amended 85 T.C. 1031">*1038 answer, respondent alleged that the trust was a grantor trust and that interest income received by the trust was therefore taxable to ASMG.
OPINION
Before 1977 petitioner ASMG, a medical professional corporation, purchased commercial insurance for malpractice claims arising from the acts of its employees. On December 31, 1976, ASMG established petitioner trust and thereafter contributed funds to the trust instead of purchasing commercial1985 U.S. Tax Ct. LEXIS 5">*24 insurance. We must determine the proper tax treatment to ASMG and to the trust of the post-1976 arrangement.
Petitioners advance three arguments in support of the deductibility of the contributions by ASMG. Consistent with the position taken by ASMG on its tax returns, petitioners argue that the contributions constituted "malpractice insurance premiums." Petitioners alternatively assert that the contributions were deductible as payments to an employee benefit plan under
Payments of insurance premiums are deductible from gross income under
85 T.C. 1031">*1039 Risk shifting emphasizes the individual aspect of insurance: the effecting of a contract between the insurer and insured each of whom gamble on the time the * * * [loss] will * * * [occur]. Risk distribution, on the other hand, emphasizes the broader, social aspect of insurance as a method of dispelling the danger of a potential loss by spreading its cost throughout a group. By diffusing the risks through a mass of separate risk shifting contracts, the insurer casts his lot with the law of averages. * * * [
Thus, there can exist no risk distribution without risk shifting. Because the arrangement between ASMG and the trust (which was not a licensed insurance company) did not accomplish1985 U.S. Tax Ct. LEXIS 5">*26 real risk shifting, ASMG may not deduct the contributions to the trust as insurance premiums.
Petitioners argue that risk shifting occurred because --
by its payments to the TRUST, ASMG has shifted to the TRUST its historically assumed obligation to provide malpractice protection for its employees. These employees, the sole beneficiaries of the TRUST, must correspondingly look solely to the TRUST for satisfaction of their responsibilities and liabilities to patients. In fact, as the evidence shows, patient claims have been, and will continue to be, satisfied from the TRUST.
Petitioners' argument ignores that, regardless of the extent of malpractice liability sustained by ASMG or its employees, the sole source of trust payments in satisfaction of such liability would be the contributions from ASMG (plus any income generated by the contributed funds). Under the declaration of trust and the amended employment contract, the trust would pay annual malpractice claims of up to $ 1 million per claim and $ 2 million per employee. During each of the years in issue, however, the trust's potential liability for payments far exceeded its funds. If actual claims in any year exceeded trust1985 U.S. Tax Ct. LEXIS 5">*27 funds, ASMG would make additional contributions to the trust, to the extent of ASMG's available assets. Although the employment contract provided for the pro rata assessment against physician employees (to the extent of gross compensation), ASMG would be the entity making the additional contributions to the trust in the event of an insufficiency in trust assets. ASMG historically paid compensation to its physicians to the extent of available earnings, and the assessment provision merely allowed ASMG to determine physician compensation on a retrospective basis, i.e., taking into account actual claims experience. Petitioners' expert witness testified that trust 85 T.C. 1031">*1040 funding was actuarially adequate during each of the years in issue. The fact remains, however, that ASMG would make additional contributions to the trust if actual claims were higher than actuarial assumptions.
Thus, like the taxpayer in
In the event of a covered casualty, the loss suffered by Carnation ultimately would be borne 90 percent by Three Flowers and 10 percent by American Home. The agreement to purchase additional shares of Three Flowers by Carnation bound Carnation to an investment risk that was directly tied to the loss payment fortunes of Three Flowers, which in turn were wholly contingent upon the amount of property loss suffered by Carnation. The agreement by Three Flowers to "reinsure" Carnation's risks and the agreement by Carnation to capitalize Three Flowers up 1985 U.S. Tax Ct. LEXIS 5">*29 to $ 3 million on demand counteracted each other. Taken together, these two agreements are void of insurance risk. As was stated by the Court in
ASMG's agreement to make additional contributions to the trust is functionally equivalent to the agreement of the taxpayer in
We stated in
1985 U.S. Tax Ct. LEXIS 5">*31 In their reply brief, petitioners argue that the trust arrangement shifted risk from ASMG's employees to the trust:
The whole purpose of the Trust was to assume the lion's share of the potential for malpractice liability of the employees of ASMG. * * * Thus, risk-shifting, from the primarily responsible employees to the Trust, has indisputably occurred.
Implicit in petitioners' argument is the conclusion that, but for the trust arrangement, the risk of loss from malpractice claims rested upon ASMG's employees, not ASMG itself. This conclusion simply is not true. Petitioners admit that under the doctrine of respondeat superior, ASMG was vicariously liable for the negligent acts of its employees. Because an employer has a right of indemnification against a negligent employee, the liability of the employer is secondary to that of the employee. See
Arguably, independent physicians, i.e., physicians not subject to common control of an employer, who establish an arrangement similar to that between ASMG and the trust might shift the risk of loss and thus create an "insurance" contract. See
(a)
Petitioners contend that the trust constitutes a "welfare or similar benefit plan" within the meaning of the above regulation and thus that ASMG may deduct contributions to the trust when made.
The regulation does not prescribe an exclusive list of benefit plans. Thus in
1985 U.S. Tax Ct. LEXIS 5">*36 The Court in
We realize the appellant could at any time terminate or alter the plan although the monies of the trust could never revert to or inure to the appellant's benefit. This minimal retention of control is not sufficient to make the benefits of the plan in any way illusory. Employers need to retain rights to alter or terminate plans to meet the changing needs of the 85 T.C. 1031">*1044 employees and employer. This flexibility may be required with numerous types of plans including the medical, vacation and other welfare benefit plans specified by regulation.
In
We nevertheless conclude that the "critical inquiry" 1985 U.S. Tax Ct. LEXIS 5">*38 articulated in
As discussed above in connection with the insurance issue, the payment of malpractice claims from trust funds will discharge ASMG's liability to the claimants. Similarly, the purchase of commercial insurance with trust funds will protect ASMG from such liability. Thus, although the declaration of trust characterized the employees as the trust beneficiaries, trust funds may inure to the benefit of ASMG.
Trust distributions also benefit ASMG's employees, in satisfying or protecting loss from their liability on malpractice 85 T.C. 1031">*1045 claims. The circumstances surrounding the creation of the trust nevertheless indicate that another purpose of the arrangement, at least equal in importance, was to benefit ASMG, the employer and provider of services. Establishment of the trust satisfied1985 U.S. Tax Ct. LEXIS 5">*39 the security requirements of the California Board of Medical Quality Assurance and thereby insulated the
Malpractice liability plans are not specifically listed in
Petitioners further assert that, even if the contributions to the trust did not constitute insurance, the contributions1985 U.S. Tax Ct. LEXIS 5">*40 were nevertheless deductible under "the general sweep of
Petitioners' argument attempts to circumvent the rule that expenditures are deductible as insurance premiums only if an insurance arrangement exists. 5 Indeed, our entire analysis of the insurance issue was predicated upon the assumption that the contributions were otherwise ordinary and necessary within the meaning of
Our holding is unaffected by the dramatic rise in commercial insurance rates, which prompted ASMG to establish the trust, or the obvious necessity of providing malpractice protection. 1985 U.S. Tax Ct. LEXIS 5">*42 The difficulty, or even impossibility, of obtaining commercial insurance is irrelevant to the issue before us. See
Respondent indicated at trial that his determination that the trust was taxable on the contributions received from ASMG was alternative to his position with respect to the deductibility of the contributions by ASMG. Because we have upheld respondent's determination on the deductibility issue, the remaining issue is the taxation of the interest income generated by trust funds. Petitioners assert that the trust was a tax-exempt Voluntary Employees' Beneficiary Association (VEBA) or, alternatively, was taxable as an insurance company or an association. Respondent disputes these assertions and argues that the trust was a grantor trust, whose income is therefore taxable to ASMG.
The organizations described in
85 T.C. 1031">*1047 (9) Voluntary employees' beneficiary1985 U.S. Tax Ct. LEXIS 5">*43 associations providing for the payment of life, sick, accident, or other benefits to the members of such association or their dependents or designated beneficiaries, if no part of the net earnings of such association inures (other than through such payments) to the benefit of any private shareholder or individual.
(d)
(1) It is intended to safeguard or improve the health of a member or a member's dependents, or
(2) It protects against a contingency that interrupts or impairs a member's earning power.
(e)
(f)
[Emphasis supplied.]
Petitioners do not argue that the malpractice protection provided through the trust is outside the literal language of subsection (f) of the regulation. In this context, it appears that the term "the provision of malpractice insurance" includes 85 T.C. 1031">*1048 self-insurance or other arrangements that are not true insurance for other purposes. Petitioners' argument is that the exclusion of malpractice insurance from "other benefits" by regulation is an invalid restriction on the statute.
The Supreme Court has articulated the following standard for determining the validity of Treasury regulations:
regulations command our respect, for Congress has delegated to the Secretary of the Treasury, not to this Court, the task "of administering the tax laws of the Nation."
As petitioners correctly note, the regulation in issue was promulgated under the Treasury's general rule-making power in
Congress first enacted the predecessor to
the manner in which * * * [the regulation] evolved merits inquiry. Other relevant considerations are the length of time the regulation has been in effect, the reliance placed on it, the consistency of the Commissioner's interpretation, and the degree of scrutiny Congress has devoted to the regulation during subsequent re-enactments of the statute. * * * [
The legislative history of section 103(16) of the Revenue Act of1985 U.S. Tax Ct. LEXIS 5">*50 1928 is quite Spartan by current standards:
Voluntary employees' beneficiary associations providing for the payment of life, sick, accident or other benefits to members and their dependents are common to-day, and it appears desirable to provide specifically for their exemption from the ordinary corporation tax. [H. Rept. 2, 70th Cong., 1st Sess. 17 (1928), 1939-1 C.B. (Part 2) 384, 395; S. Rept. 960, 70th Cong., 1st Sess. 25 (1928), 1939-1 C.B. (Part 2) 409, 426.]
In focusing upon organizations that were common at the time of enactment, however, this language is inconsistent with an all-inclusive definition of "other benefits." Indeed, until 1969 the Commissioner administered the VEBA provision without issuing regulations, primarily because most VEBAS were composed of small groups of local employees and provided very limited benefits. See Greenblatt, "New Prop. Regs. expand the 85 T.C. 1031">*1050 use of voluntary employees' beneficiary associations,"
In 1969, the Commissioner issued proposed regulations under
Congress re-examined the VEBA provisions in connection with 1985 U.S. Tax Ct. LEXIS 5">*52 the enactment of the Tax Reform Act of 1984. Although Congress did not amend
In general, a VEBA may provide life, sick, accident, or other benefits in cash or in kind to members or their dependents or beneficiaries.
The regulations specify that "other" benefits means benefits similar to life, sick, or accident benefits. Under the regulations, such benefits must either (1) be intended to safeguard or improve the health of a member or a member's dependents or (2) protect against a contingency that interrupts or impairs a member's earning power. The following benefits are permissible "other" 1985 U.S. Tax Ct. LEXIS 5">*53 benefits that the regulations permit a VEBA to provide: (1) vacation benefits, (2) vacation facilities, (3) reimbursed vacation expenses, (4) subsidized recreational activities, (5) child care facilities for pre-school and school age dependents, (6) job readjustment allowances, (7) income maintenance payments in the event of economic dislocation, (8) temporary living expense loans and grants at times of disaster (such as fire or flood), (9) supplemental unemployment compensation benefits, (10) severance benefits, (11) personal 85 T.C. 1031">*1051 legal services, and (12) any benefit provided in the manner permitted under section 302(c)(5) et seq. of the Labor Management Relations Act of 1947.
Impermissible VEBA benefits under the regulations include the following: (1) commuting expenses, (2) accident or homeowner's insurance benefits for damage to property, (3) malpractice insurance * * *
[H. Rept. 98-432 (Part 2) 1286-1287 (1984). Fn. refs. omitted.]
The explanations of the Finance Committee and the Joint Committee contain virtually identical language. Senate Comm. on Finance, Explanation of Provisions Approved by the Committee on March 21, 1984 (Vol. 1) 317 (Comm. Print 1984); Staff 1985 U.S. Tax Ct. LEXIS 5">*54 of Joint Comm. on Taxation, General Explanation of the Revenue Provisions of the Deficit Reduction Act of 1984, 796-797 (Comm. Print 1984).
Congress was thus well aware of, and characterized as existing law, the definition of "other benefits" contained in
Petitioners nevertheless advance an array of arguments against the regulation. They first assert that Congress never intended to limit "other benefits" to benefits similar to life, sickness, or accident benefits. Petitioners cite examples where Congress specifically utilized words such as "similar" or "like" to limit a collective category following a specific enumeration of items. See secs. 61(a)(1), 871(a)(1)(D). Petitioners' argument implies, however, that a VEBA can provide
Petitioners cite
Petitioners finally argue that, even if similarity to life, sick, or accident benefits is the proper test for "other benefits," the regulation is internally inconsistent. According to petitioners, malpractice insurance better satisfies1985 U.S. Tax Ct. LEXIS 5">*57 the alternative requirement for similarity, i.e., intended to safeguard or improve health or protecting against an interruption or impairment of earning power, than do many of the "permissible other benefits" listed in the regulation.
Protecting the employee from malpractice liability, however, necessarily entails protecting the employer. As this case illustrates, employer protection may be a dominant motive behind such arrangements, unlike the permissible other benefits listed in the regulation. Moreover, in contrast to malpractice protection, most of the specified other benefits enjoy express congressional approval in other areas of the tax law. See, e.g., sections 44 and 188 (child care), 120 and 501(c)(20) (legal services), 127 (educational assistance), 463 (vacation 85 T.C. 1031">*1053 pay), 501(c)(7) (recreational organizations), and 501(c)(17) (supplemental unemployment compensation). The Treasury perhaps could have reasonably included malpractice insurance in "other benefits." Excluding malpractice protection from such benefits nevertheless was not unreasonable. Cf.
Even if the exclusion of malpractice insurance were an invalid restriction of the statute, employee participation in the trust was not "voluntary" as defined in
(2)
In the present case, all employees of ASMG become "members" of the arrangement solely by reason of their employment. Indeed, as the non-unanimous vote indicates, not even all shareholder employees wished to adopt the plan. All physician employees incurred a detriment as a result of membership in the plan. The $ 10,000 per physician contributions by ASMG reduced the amount of compensation ASMG otherwise could pay the physicians, and the physicians agreed to salary1985 U.S. Tax Ct. LEXIS 5">*59 reductions if trust funds were inadequate to pay claims.
Petitioners argue that, if the trust is not a VEBA, it is taxable as an insurance company, i.e., under subchapter L (sections 801 et seq.). Although the Internal Revenue Code does not define the term "insurance company," the regulations provide the following guidance:
The term "insurance company" means a company whose primary and predominant business activity during the taxable year is the issuing of insurance or annuity contracts or the reinsuring of risks underwritten by insurance companies. Thus, though its name, charter powers, and subjection 85 T.C. 1031">*1054 to State insurance laws are significant in determining the business which a company is authorized and intends to carry on, it is the character of the business actually done in the taxable year which determines whether a company is taxable as an insurance company under the Internal Revenue Code.
As discussed above, the arrangement between ASMG and the trust did not constitute insurance, because risk shifting did not occur. The trust therefore is not an "insurance company" as defined in the above1985 U.S. Tax Ct. LEXIS 5">*60 regulation. See
Petitioners next contend that the trust constituted an association, which is included in the term "corporation" (section 7701(a)(3)), and not a trust for tax purposes.
An arrangement whereby trustees take title to property for the purpose of protecting or conserving it for the beneficiaries constitutes a trust for tax purposes. Sec. 301.7701-4(a), Proced. & Admin. Regs. Regardless of State law classification, however, a trust arrangement created to carry on a profit-making business constitutes an association for tax purposes if, 1985 U.S. Tax Ct. LEXIS 5">*61 under section 301.7701-2, Proced. & Admin. Regs., the organization more nearly resembles an association than a trust. Sec. 301.7701-4(b), Proced. & Admin. Regs. Under section 301.7701-2(a)(2), Proced. & Admin. Regs., both associates and an objective to carry on business for joint profit are necessary for association status. See also
In the present case, the objective of the trust, as expressed in the declaration of trust, was merely to receive funds from ASMG and, at ASMG's direction, to pay malpractice claims or insurance premiums. Thus, it in fact resembled a trust more than an association. Because it was merely an agent of ASMG 85 T.C. 1031">*1055 with respect to a trust res and was not carrying on business for profit, the trust cannot be taxed as an association.
Because the trust was a trust and not an association for tax purposes, we must consider respondent's argument that the trust constituted a grantor trust1985 U.S. Tax Ct. LEXIS 5">*62 whose income is taxable to ASMG.
Where it is specified in this subpart that the grantor or another person shall be treated as the owner of any portion of a trust, there shall then be included in computing the taxable income and credits of the grantor or the other person those items of income, deductions, and credits against tax of the trust which are attributable to that portion of the trust to the extent that such items would be taken into account under this chapter in computing taxable income or credits against the tax of an individual. * * *
The term "grantor" includes a corporation.
Under
In the present case, trustee was a nonadverse party. Sec. 672(a), (b); sec. 1.672(a)-1, (b)-1, Income Tax Regs. Moreover, trust funds (including income) may be used to satisfy ASMG's legal obligation on malpractice1985 U.S. Tax Ct. LEXIS 5">*63 claims resulting from acts of ASMG's employees. This case does not present the situation where the trust and not the grantor is primarily liable on the obligation. Compare
We need not consider respondent's arguments with respect to other grantor trust provisions.
ASMG may not deduct amounts contributed to the trust, and trust income is taxable to ASMG. We have considered and rejected as either irrelevant or erroneous all other arguments raised by the parties. To reflect the foregoing,
1. Unless otherwise indicated, all statutory references are to the Internal Revenue Code of 1954 as amended and in effect during the years in issue.↩
2. See
3. See
4. The primary issue in
5. See
6. Cf.
7.
8. (v) Other benefits. The term "other benefits" include only benefits furnished to a member, his spouse or an individual specified in section 152(a) (even if more than 50 percent support is not furnished) which are similar to life, sick, and accident benefits. A benefit is similar to a life, sick, or accident benefit if it is intended to safeguard or improve the health of the employee or to protect against a contingency which interrupts earning power. * * *
9. See also