1994 U.S. Tax Ct. LEXIS 37">*37
P is a California nonprofit mutual benefit insurance corporation. It provides automobile liability insurance to its members, all of which are tax-exempt social service organizations that furnish transportation to the elderly, the handicapped, the needy, etc. The premiums paid by a member for such insurance are determined actuarially to take into account a number of factors, such as the deductibles selected by the member, the number of vehicles used by the member, the number of passengers carried by each vehicle, and the radius of the member's operations.
1.
2.
102 T.C. 745">*746 OPINION
Raum,
At the time of filing its petition, petitioner's principal place of business was in Oakland, California. It is a California non-profit mutual benefit insurance corporation, organized in 1988.
During the 4-year period from 1983 to 1987, a 239-percent increase in automobile insurance caused serious disruptions and reductions in needed social service transportation provided by California1994 U.S. Tax Ct. LEXIS 37">*39 transportation agencies. Because of this automobile insurance crisis, the California Department of Transportation (CALTRANS) applied for and received a technical studies grant from the U.S. Department of Transportation, Urban Mass Transportation Administration, to conduct a study of insurance alternatives for California social service transportation providers. The study report was issued in July 1987; it recommended that CALTRANS and the California Association for Coordinated Transportation assist private social service transportation providers to develop a mechanism for managing and limiting their liability risks and losses.
Pursuant to the recommendation of the study report, a steering committee made up of representatives of various private and public social service transportation providers was created to incorporate petitioner. Petitioner was incorporated on March 16, 1988.
To qualify for membership in petitioner, an organization must be a
The primary objectives and purposes of this Corporation shall be to create and administer a group self-insurance pool pursuant to
In addition to providing funding and payment of member vehicular losses, petitioner also provides members with assistance and education on the control and management of losses arising from the operation of their vehicles.
Promptly after its incorporation on March 16, 1988, petitioner engaged in startup activities, enrolling eligible member organizations. It actually began its first year substantive operation as a nonprofit mutual benefit insurance corporation on July 1, 1988. It thus commenced the insurance business of risk spreading in July 1988 with a membership of 74 unrelated private, tax-exempt paratransit providers. Its membership increased to 142 by January 1991.
Upon becoming a member of the pool, a joining organization enters into a "member agreement" with petitioner committing the organization to the pool for 3 years. Under1994 U.S. Tax Ct. LEXIS 37">*42 the terms of the membership agreement, each member pays a one-time $ 25 per vehicle registration fee, and thereafter pays premiums ("contributes funds") 5 to cover insured losses 102 T.C. 745">*748 for each year and to assist in covering the costs of risk management programs, driver safety programs, and other technical assistance provided by petitioner. The amount of a member's premiums ("contributions") is determined actuarially to take into account a number of factors, such as the deductibles selected by the member, the number of vehicles the member operates, the number of passengers carried by each vehicle, and the radius of the member's operations. 6 At the time of petitioner's application for exemption, each member paid an average of $ 800 a year per vehicle.
1994 U.S. Tax Ct. LEXIS 37">*43 Petitioner has provided a series of estimates which suggests that, depending upon a member's locale, the premiums range from 20 to 50 percent less than the premiums charged by regular commercial insurance companies for comparable automobile insurance. 7 At other points in the record, however, petitioner has stated that in a random sampling of its member "contributions" (premiums) they were "30% to 80% below the commercial market"; and that "The estimates for 1991/92, * * * demonstrate a cost to members that range from 60% to 80% below the low estimate of commercial premiums." In comparing the cost of the insurance it provides its members with the cost of insurance from commercial vendors, petitioner increased the cost of insurance from commercial vendors by $ 5,000 for each member (regardless of the number of vehicles insured by such member) to reflect "an estimate of the cost to each member to individually * * * purchase * * * services" comparable to the risk management/safety services provided by petitioner.
1994 U.S. Tax Ct. LEXIS 37">*44 The member agreement provides as follows with respect to the treatment of accumulated surplus contribution funds:
102 T.C. 745">*749 Article VII
Any surplus funds accumulated during a fiscal year in excess of the amounts necessary to fulfill all obligations for incurred claims, administrative and other program expenses, may be refunded by the Board as return Premiums or as reduced Premiums. For the purposes of determining such return or reduced Premiums the Board shall receive advice from a qualified casualty actuary. The actuary shall calculate the amount of incurred losses, which shall include paid and reserved claims, incurred-but-not-reported claims, loss development, loss trending, and a contingency reserve.
Return or reduced Premiums will only be available to Members that received coverage in the applicable fiscal year. The Board shall establish the distribution plan and dates for payment of return Premiums to the Members.
The self-insurance pool established by petitioner insures the first $ 100,000 of its members' claims. Coverage for claims in excess of that amount is obtained by purchasing reinsurance on the commercial market. Petitioner has described1994 U.S. Tax Ct. LEXIS 37">*45 the arrangement as follows:
Paratransit assists in the administration of member organizations jointly self-funding losses up to a specified retention level through a single loss fund and by purchasing reinsurance from the commercial market for coverage above that level. Paratransit's pool level is for the first $ 100,000 in losses and excess policies and aggregate stop loss policies cover losses at limits of one million, two million and five million dollars. As well, members may select individual deductibles in amounts of $ 5,000 to $ 10,000 per occurrence. The vehicle physical damage coverage is purchased as a group from Lloyds London.
* * * Underwriting of excess coverage and claims services are provided by Curtis Day, Inc. and John Glenn Adjusters, respectively, both for-profit corporations. Curtis Day, Inc. bills and collects members contributions, pays the excess and stop-loss insurers, and turns over pool level funds to Paratransit. * * *
In a letter to the IRS dated July 19, 1991, petitioner provided a revised "Statement of Revenue and Expenditures" 8 for the short calendar year ending December 31, 1988, and the full calendar years 1989 and 1990. According to that1994 U.S. Tax Ct. LEXIS 37">*46 letter, petitioner had the following sources of revenue: 102 T.C. 745">*750
1988 | 1989 | 1990 | |
Application fees | $ 18,050 | $ 3,578 | $ 6,200 |
Premiums-pooled | 310,015 | 926,749 | 1,206,557 |
layer | |||
Interest income | 4,427 | 55,688 | 96,436 |
Other | -0- | -0- | 5,137 |
Grant income | 60,0001 | 30,000 | 399 |
In-kind donations | 221,7422 | 196,819 | 167,175 |
Total revenues | 614,234 | 1,212,834 | 1,481,904 |
Total revenues ex- | |||
cluding in-kind | |||
donations | 392,492 | 1,016,015 | 1,314,729 |
Amounts designated as "in-kind donations" represented the estimated value of time and services provided to petitioner by a number of individuals. Included in "in-kind donations" was the purported value of services of Katherine Adcock, 1994 U.S. Tax Ct. LEXIS 37">*47 who became petitioner's executive director, apparently upon its incorporation or shortly thereafter, as well as those of various other individuals at firms that provided services prior to petitioner's formation. Also included in "in-kind donations" was the purported value of time and services of petitioner's directors and members of various committees of petitioner. Petitioner's July 19, 1991, letter also listed its sources of expenditures for the years ended December 31, 1988 through 1990. The following is a condensed version of petitioner's schedule of revised expense figures:
Administrative | |||
expenses | 1988 | 1989 | 1990 |
Administrative | |||
expenses except | |||
in-kind1 | $ 103,451 | $ 178,909 | $ 199,188 |
In-kind expenses | 221,742 | 196,819 | 167,175 |
Total administrative | |||
expenses | 325,193 | 375,728 | 366,363 |
Total claims expenses | 217,725 | 788,653 | 1,078,066 |
Total expenditures | 542,918 | 1,164,381 | 1,444,429 |
Total expenditures | |||
w/o in-kind expenses | 321,176 | 967,562 | 1,277,254 |
Net operating | |||
income (loss) | 71,316 | 48,453 | 37,475 |
1994 U.S. Tax Ct. LEXIS 37">*48
102 T.C. 745">*751 In June 1990, petitioner applied for exemption from Federal income tax under
You are not operated exclusively for exempt purposes. You are operating for a substantial nonexempt, commercial purpose. Furthermore, because a substantial part of your activities consists of providing commercial-type insurance, you are disqualified from exemption by virtue of
Petitioner thereafter sought review by this Court. 10 We sustain the Commissioner.
Organizations described in
(1) Denial of tax exemption where providing commercial-type insurance is substantial part of activities. -- An organization 102 T.C. 745">*752 described1994 U.S. Tax Ct. LEXIS 37">*50 in paragraph (3) or (4) of subsection (c) shall be exempt from tax under subsection (a) only if no substantial part of its activities consists of providing commercial-type insurance. * * * (3) Commercial-type insurance. -- For purposes of this subsection, the term "commercial-type insurance" shall not include -- (A) insurance provided at substantially below cost to a class of charitable recipients,
2. Taxation of Tax-Exempt Organizations Engaged in Insurance Activities (sec. 1012 of the bill and
Present Law
* * *
The providing of insurance benefits by an organization otherwise described in
* * *
Reasons for Change
The committee is concerned that exempt charitable and social welfare organizations that engage in insurance activities are engaged in an activity whose nature and scope is so inherently commercial that tax exempt 102 T.C. 745">*753 status is inappropriate. The committee believes that
* * *
Explanation of Provision
Under the bill, an organization described in
* * *
commercial-type insurance generally is any insurance of a type provided by commercial insurance companies. * * *
[Fn. ref. omitted; citations omitted; emphasis added.]
1994 U.S. Tax Ct. LEXIS 37">*53 Several aspects of the House report deserve comment. First, in the portion entitled "Present Law", the House report provides an example which describes petitioner's situation almost perfectly: two or more unrelated tax-exempt organizations pooling funds in a separate entity "to be used to satisfy malpractice claims against the organizations". And in that example, the House report unequivocally states that "the organization holding the pooled funds is not entitled to tax exemption because the activity (i.e., the provision of insurance) is inherently commercial in nature." Significantly, the House report refers generically to "insurance", and its reference to malpractice insurance was introduced by the phrase "For example". Certainly, there is no basis whatsoever to conclude that automobile liability insurance would not be regarded the same as malpractice insurance in this context.
In the portion entitled "Reasons for Change", the House report again refers in general terms to "insurance" activity, which it describes as "an activity whose nature and scope is so inherently commercial that tax exempt status is inappropriate." H. Rept. 99-426,
1994 U.S. Tax Ct. LEXIS 37">*54 Also, the portion of the House report captioned "Explanation of Provision" states that "commercial-type insurance 102 T.C. 745">*754 generally is
Every relevant aspect of the administrative record indicates that petitioner provides "commercial-type insurance" 1994 U.S. Tax Ct. LEXIS 37">*55 within the meaning of
Finally, the
Petitioner on brief argues that Congress, by using the phrase "commercial-type insurance" in
The committee further believes that the provision of insurance to the general public at a price sufficient to cover the costs of insurance generally constitutes an activity that is commercial. [H. Rept. 99-426,
This reference to the "general public" was deleted from the report of the Staff of the Joint Committee on Taxation in its General Explanation of the Tax Reform Act of 1986, at 504 (J. Comm. Print 1987). Furthermore, it must be remembered that
Moreover, if Congress had intended the phrase1994 U.S. Tax Ct. LEXIS 37">*58 "commercial-type insurance" in
1994 U.S. Tax Ct. LEXIS 37">*59 Even if, as we have concluded above, petitioner does provide "commercial-type insurance" within the meaning of
We recognize that neither
Petitioner nonetheless contends that it should not be denied tax exemption by reason of
Passing the question whether petitioner's tax-exempt members are the "class of charitable recipients" contemplated by the statute, it is clear that petitioner has in any event failed to insure them at "substantially below cost", within the meaning of
Most of the operating expenses of the organization, including the costs of the services of the investment counselors and the custodian banks, 1994 U.S. Tax Ct. LEXIS 37">*63 are paid for by grants from independent charitable organizations. The member organizations pay only a nominal fee for the services performed. These fees represent less than fifteen percent of the total costs of operation. [
The ruling concluded that, by performing such functions for the tax-exempt institutions at "a charge that is substantially below cost," the organization was "performing a charitable activity within the meaning of
Applying this standard1994 U.S. Tax Ct. LEXIS 37">*64 to petitioner's operations, as described in its July 19, 1991, letter to the IRS, it is clear that petitioner comes nowhere near the mark. Revenues from member contributions, i.e., the sum of the amounts designated as "application fees" and "premiums-pooled layer", totaled $ 328,065, $ 930,327, and $ 1,212,757, respectively, for the years 1988, 1989, and 1990. Petitioner's total expenditures, including in-kind expenses (i.e., donated services), totaled $ 542,918, $ 1,164,381, and $ 1,444,429, respectively, during each of those years. Thus, even if we accept petitioner's questionable inclusion of its so-called in-kind expenses in its total expenditures, 17 its revenues from member contributions as a percentage of total expenditures are 60.43 percent, 79.90 percent, and 83.96 percent for the years 1988, 1989, and 1990, respectively. If in-kind expenses are subtracted, 102 T.C. 745">*759 then member contributions approach 100 percent of petitioner's total expenditures during each of those years.
1994 U.S. Tax Ct. LEXIS 37">*65 Petitioner also contends that "in determining
Petitioner further argues that in determining what is substantially below cost, we should look to the percentages referred to in
In view of the conclusion that we have reached in respect of
1. Unless otherwise indicated, all section references are to the Internal Revenue Code in effect for the years at issue.↩
2. Although the word "paratransit" does not appear in various dictionaries examined by us, it is used by the parties and others to refer to organizations of the type described above.↩
3.
4. In an attachment to its application for tax exemption (Form 1023), petitioner characterized its primary purpose as follows:
The primary purpose of PIC [Paratransit Insurance Corp.] is to increase and improve the availability of paratransportation and other transportation related services to the elderly, handicapped and other needy in the State of California by providing members with a stable, affordable and equitable financing and management of liability risks and losses. * * *↩
5. Petitioner at times uses the term "contributions" instead of "premiums", and at other times uses the term "premiums". Such purported contributions are more accurately referred to as premiums.↩
6. Art. V of petitioner's "member agreement" states in pertinent part as follows:
Premiums shall be calculated by applying actuarially developed rates to the Member's vehicles. The rates shall be adjusted by exposure factors such as vehicle capacity, territory in which vehicle is garaged, and radius of operation. Premiums shall also be modified by loss experience when appropriate. The rating formula may be changed by the Board of Directors at the end of each Coverage Period.↩
7. Petitioner estimates that commercial premiums in southern California were 40 to 50 percent higher than those charged to members; that, in the Bay area, commercial premiums were 30 to 35 percent higher; and that, in rural areas, commercial insurance premiums were 20 to 25 percent higher.↩
8. The "Statement of Revenue and Expenditures" contained in the July 19, 1991, letter revised the revenue and expense figures that appeared in petitioner's application for tax exemption.↩
1. The $ 60,000 grant income figure for 1988 included amounts for startup activities from Mar. 16, 1988, the date of petitioner's incorporation, to July 1, 1988, the date that it actually started the insurance business.↩
2. There was no breakdown of the $ 221,742 in-kind donations to show how much was attributable to startup services prior to petitioner's beginning its business as an insurance company on July 1, 1988, or even prior to its actual incorporation on Mar. 16, 1988.↩
1. As explained earlier, the item "in-kind donations" represents petitioner's estimate of the revenue value of time and services contributed by various individuals and organizations to petitioner. "In-kind expenses" apparently also reflects the value of such donated time and services for purposes of expense recognition. The amounts of "in-kind donations" and "in-kind expenses" are exactly equal.↩
9. Form 1023 is described in its caption as an "Application for Recognition of Exemption Under
10. The Commissioner has conceded on brief that petitioner exhausted its administrative remedies prior to filing its petition.↩
11. The previous version of Code
12. The Senate bill did not contain any comparable provision, and the report of the conference committee followed the House bill with respect to "commercial-type insurance" with certain modifications that have no relevance here. See H. Conf. Rept. 99-841, at 346-350 (1986), 1986-3 C.B. (Vol. 4) 1, 346-350. In addition, the report of the Staff of the Joint Committee on Taxation contains language nearly identical to the House report, except for some minor modifications. See Staff of Joint Comm. on Taxation, General Explanation of the Tax Reform Act of 1986, at 583-586 (J. Comm. Print 1987).↩
13. Such insurance, however, obviously does not include self-insurance by a single organization, which is not purchased commercially, and which does not involve risk sharing or risk shifting that is characteristic of true insurance. See Staff of Joint Comm. on Taxation, General Explanation of the Tax Reform Act of 1986, at 583-586 (J. Comm. Print 1987).↩
14.
(3) Commercial-type insurance. -- For purposes of this subsection, the term "commercial-type insurance" shall not include -- * * * (C) property or casualty insurance provided (directly or through an organization described in section 414(e)(3)(B)(ii)) by a church or convention or association of churches for such church or convention or association of churches, (D) providing retirement or welfare benefits (or both) by a church or a convention or association of churches (directly or through an organization described in section 414(e)(3)(A) or 414(e)(3)(B)(ii)) for the employees (including employees described in section 414(e)(3)(B)) of such church or convention or association of churches or the beneficiaries of such employees * * *↩
15. It is important to note that the above percentages reflect the inclusion in "total administrative expenses" of "in-kind expenses", i.e., expenses attributable to donated time and services. Thus, in calculating the percentages, we have made an assumption that is highly favorable to petitioner. If we were to exclude "in-kind expenses" in determining petitioner's total administrative costs, the percentages of total expenditures attributable to insurance claims would be even greater than those reflected above.↩
16. In the ruling, the organization's investment activities were more fully described as follows:
The organization receives capital from the participating exempt organizations, which capital is then placed in one or more common funds in the custody of various banks. These common funds are controlled and managed by the organization. The funds are invested upon the advice of independent investment counsel retained by the organization. [
17. The propriety of including petitioner's figures of "in-kind expenses" as part of cost is open to challenge for a number of reasons.