DocketNumber: Docket No. 29078-14.
Citation Numbers: 146 T.C. No. 10, 146 T.C. 153, 2016 U.S. Tax Ct. LEXIS 11
Judges: GUSTAFSON
Filed Date: 4/11/2016
Status: Precedential
Modified Date: 11/21/2020
An appropriate order will be issued.
P-H's LLC faced various risks. P-H formed SMS as a "captive insurance company", and in 2009 and 2010 LLC paid SMS premiums for coverage of the risks by SMS. LLC deducted the premiums, and the deductions were passed through to Ps' tax returns. After audit, the IRS disallowed the deductions and stated in the notice of deficiency (NOD): "You did not establish that the amount shown was (a) insurance expense, and (b) paid". Ps filed a petition in the Tax Court disputing the NOD, and R filed an answer that did not make any affirmative allegations as to the disallowed insurance expense deductions. After the case was stricken from a trial calendar and continued generally, R moved for leave to amend his answer to assert "that a) Petitioners' use, through solely controlled flow-through entities, of a micro-captive insurance arrangement in 2009 and 2010 lacked economic substance; and b) Amounts paid as premiums through the micro-captive arrangement were neither ordinary nor necessary" and to allege facts in support of those assertions. Ps oppose the motion for leave, citing
146 T.C. 153">*154 GUSTAFSON,
For purposes of respondent's motion for leave, we take the background of this case to be as alleged by petitioners, as follows: Peter owns Phoenix Capital Management, LLC ("Phoenix") which bought KwikMed in 2001. Since that time, KwikMed has devoted substantial resources to developing a comprehensive online access tool to sell a limited class of legend drugs over the internet. Given the economic threat its innovative business model poses to the deeply-entrenched brick-and-mortar drug store industry, Peter and his company face the constant threat of litigation and administrative actions in various states. Unable to procure commercial coverage for much of that risk, Peter formed SMS Insurance Company,2016 U.S. Tax Ct. LEXIS 11">*13 Ltd. ("SMS") to provide some of the needed coverage under During 2009 and 2010, Phoenix obtained insurance from SMS across a broad range of risks including administrative action, computer operations and data, reputational damage, business income/expense, and commercial terrorism insurance policies covering Phoenix' internet business. For that coverage, Phoenix paid $1,200,000 in insurance premiums in 2009 and $1,128,340 for 2010. Phoenix deducted those premiums and passed the tax consequences through to the joint individual income tax returns which Peter and Beverly filed. The IRS audited those returns and issued a notice of deficiency, disallowing these deductions * * *.
The IRS issued its notice of deficiency ("NOD") on September 9, 2014. The notice explained the disallowance of Phoenix's insurance deductions by stating: We adjusted your return in accordance with the examination results of the S corporation return ([Phoenix's] Form 1120S) of which you are a shareholder. See the attached Forms 4505-A [sic] for Medit Marketing Inc. and Phoenix Capital Management, LLC. Since you did not establish that the amount shown was (a) insurance expense, and (b) paid, the amount is not deductible. Since you did not establish that a part of the insurance expense claimed on your tax return was ordinary and necessary to your business, we have disallowed the aggregate amount shown. Further it is determined that the amounts disallowed were not paid to an insurance company and that they were not paid for insurance.
On December 8, 2014, petitioners timely filed their petition in this Court. Echoing the above-quoted2016 U.S. Tax Ct. LEXIS 11">*15 language in the Form 886A attached to the NOD, the petition alleges (in paragraph 4(h) and (i)) that, in issuing the NOD, the Commissioner erred as to each of the two years in issue by disallowing the Phoenix insurance expense deductions and "[b]y asserting that the * * * [amount] paid * * * for insurance was not somehow an insurance expense and not paid and therefore not deductible". The petition alleges in paragraph 4(n) that the IRS erred with regard to the disallowance as to Medit for 2010.
The Commissioner filed his answer on January 29, 2015. The answer generally denied the allegations in the petition, but it did not make any affirmative allegations as to the disallowed insurance expense deductions. Petitioners' counsel provided respondent's counsel with substantial information about the case in May and July 2015.
On September 4, 2015, the Commissioner filed a motion for leave to file an amendment to his answer. Specifically, the Commissioner moves-- pursuant to * * * * 8. Respondent acknowledges that he will bear the burden of proof with respect to the micro-captive arrangement's lack of economic substance. 9. Disallowing the insurance related deductions because such expenses were neither ordinary nor necessary, however, is implicit in the notice of deficiency; respondent, however, makes the related affirmative allegations out of an abundance of caution. Accordingly, respondent does not bear the burden of proving that such expenses were ordinary and necessary. 10. Respondent continues to maintain that the micro-captive insurance arrangement does not constitute insurance for federal income tax purposes, see a) Petitioners' use, through solely controlled flow-through entities, of a micro-captive2016 U.S. Tax Ct. LEXIS 11">*17 insurance arrangement in 2009 and 2010 lacked economic substance; and b) Amounts paid as premiums through the micro-captive arrangement were neither ordinary nor necessary.
Petitioners oppose the Commissioner's2016 U.S. Tax Ct. LEXIS 11">*18 motion for leave, and they summarize their contentions as follows: Petitioners object to the granting of leave essentially on three grounds. First, the Administrative Procedure Act ["APA"] bars an agency's attempt to bolster a final agency action on a post hoc basis. Second, Respondent's Reply effectively admits he has no cause for the delay in leveling the vague factual allegations which perpetuate the prejudice by failing to provide meaningful notice. Third, both the "economic substance" and "ordinary and necessary" grounds would constitute "new matters" under
Petitioners summarize their administrative law contention by stating: Since the Supreme Court [in If an order is valid only as a determination of policy or judgment That is, where Congress has committed an action solely to agency discretion,2016 U.S. Tax Ct. LEXIS 11">*21 a reviewing court can only review the decision that the agency made; a court cannot perform a pseudo-review of a hypothetical decision that was not made by the agency but that the court might have made if it were the agency. The IRS is authorized to "determine[]" a deficiency in a taxpayer's income tax and to send the taxpayer notice of that deficiency. Moreover, the scope of a deficiency case may be expanded (beyond the notice of deficiency) in the IRS's favor, pursuant to [T]he Tax Court shall have jurisdiction to (1) Jurisdiction to Furthermore, The Administrative Procedure Act created norms for judicial review of agency action. The APA separately imposes upon the reviewing court, in mandatory terms, the obligation "to hold unlawful and set aside any agency action, finding[s], and conclusion[s] found to be ... unwarranted by the facts to the extent the facts are subject to trial Even if they otherwise reasonably construe The form of proceeding for judicial review is As the U.S. Supreme Court stated in Petitioners' proposal--that a deficiency case be confined to issues in the NOD--would be a radical innovation that not only is at odds with the statutes discussed above but that also would change longstanding practice. Under As petitioners point out, the Supreme Court did state in we are not inclined to carve out an approach to administrative review good for tax law only. To the contrary, we have expressly "[r]ecogniz[ed] the importance of maintaining a uniform approach to judicial review of administrative action." The issue now before us, however, does not involve any dispute about the deference to be accorded to agency regulations, so The Supreme Court did not, by the language in Consequently, the Tax Court, when it considers, in a deficiency case, issues and arguments not stated in the IRS's NOD, is not proceeding at odds with the authorities that petitioners have cited. In the alternative, petitioners contend that even if the Commissioner is otherwise permitted to plead in an answer contentions that were not in a notice of deficiency, the Commissioner should not be permitted to so plead in this instance in an amendment to the answer, because of unfair prejudice that would result. The Commissioner raises his two new issues ("economic substance"2016 U.S. Tax Ct. LEXIS 11">*32 and "ordinary and necessary") not in his original answer filed January 29, 2015, nor by an amendment of right made 30 days thereafter, Amendment of pleadings is addressed in Central to petitioners' opposition to the motion for leave to amend is their argument that the two issues in the NOD (i.e., whether "the amount shown was (a) insurance expense, and (b) paid") are very simple issues, in contrast to two very complicated new issues now proposed to be added (i.e., whether the arrangement "lacked economic substance" and whether the amounts paid "were neither ordinary nor necessary"). Petitioners now repeatedly characterize2016 U.S. Tax Ct. LEXIS 11">*33 the NOD--which disputes only "(a) insurance expense, and (b) paid"--as raising only "a straightforward expense substantiation dispute" on which petitioners could easily prevail with "the mere proof of an insurance expense payment". Such proof, they say, could be decisively made with available documents: "The checks, invoices, and policies substantiate that insurance payment." In petitioners' view, "'business purpose' evidence * * * would not be needed or relevant to substantiation of an insurance payment." The addition of the issues of "economic substance" and "ordinary and necessary", petitioners contend, would prejudice them. It is true that prejudice to the non-moving party is one of the reasons to disallow an amendment to the movant's 146 T.C. 153">*167 pleadings,2016 U.S. Tax Ct. LEXIS 11">*34 but we reject petitioners' contention of prejudice here for two reasons: First (but less important) we are not at all persuaded that the NOD is as simple as petitioners assert. The question whether an arrangement is "insurance" can be highly complex.2016 U.S. Tax Ct. LEXIS 11">*36 And the question whether a deduction has been substantiated often depends on much more than proving the existence of a document that purports to impose a liability and proving the fact that money changed hands. This is especially true in the case of payments allegedly made to a related person or entity. The quintessence of insurance is the 146 T.C. 153">*168 shifting of risk,2016 U.S. Tax Ct. LEXIS 11">*35 wants the coverage and makes the payment, the question naturally arises whether risk has actually been shifted--a question not really answered just by showing an insurance policy. And since a payment to one's own entity can sometimes be the mere moving of money from one pocket to another, the question whether a premium has really been "paid" to a captive insurer is not really answered just by showing a canceled check. Thus, if an NOD denies a deduction for premiums paid to a captive insurer because (the IRS says) "you did not establish that the amount shown was (a) insurance expense, and (b) paid", then that notice has raised much more than "a straightforward expense substantiation dispute". Second, and more important, "prejudice", for this purpose, does not mean mere disadvantage. The question of prejudice under Because no trial date has yet been set, petitioners have ample time to prepare to resist the Commissioner's new contentions. We see no prejudice to petitioners in this circumstance. Petitioners do complain about "surprise" and lack of "fair notice", but the gist of their argument is not with the timing of the raising of the arguments but with the supposed vagueness of the amended answer--an issue properly addressed in connection with their third contention, discussed in part III below. The Commissioner's motion for leave proposes an amendment to his answer that raises two new issues not in the NOD--"economic substance" and "ordinary2016 U.S. Tax Ct. LEXIS 11">*38 and necessary". The NOD asserts that petitioners "did not establish that the amount shown Three times within the past two years, this Court found that insurance premiums paid to a captive insurance companySee Consequently, the "ordinary and necessary" issue is not "new matter" and is not subject to the pleading requirement of
1. Unless otherwise indicated, all section references are to the Internal Revenue Code (26 U.S.C.; "the Code"), as amended and in effect for the years in issue, and all Rule references are to the Tax Court Rules of Practice and Procedure.
2. Like the Commissioner, we use the phrase "new issues" to describe the contentions in the proffered amendment to the answer without indicating thereby whether those new issues constitute "new matter" for purposes of
3. Petitioners characterize
4.
5. The jurisdiction to determine a deficiency greater than in the notice has existed since 1924, and jurisdiction to determine overpayments has existed since 1926,
6.
7.
8.
9.
10.
11.
12. Reasons not to allow amendment of a pleading include "undue delay, bad faith or dilatory motive on the part of the movant, repeated failure to cure deficiencies by amendments previously allowed, undue prejudice to the opposing party by virtue of allowance of the amendment, futility of amendment, etc."
13. As we recently explained in The meaning of * * * ["insurance"] for Federal income tax purposes has thus been developed chiefly through a process of common-law adjudication. In the seminal case addressing this subject, the United States Supreme Court noted that '[h]istorically and commonly insurance involves risk-shifting and risk-distributing.'
14.
15. In fact, as we note above, the NOD
16. The Commissioner's motion for leave states (in para. 9): "Disallowing the insurance related deductions because such expenses were neither ordinary nor necessary, however, is implicit in the notice of deficiency; respondent, however, makes the related affirmative allegations out of an abundance of caution."↩
17. The third of these three cases--
18.
19. By holding that the "ordinary and necessary" issue is not subject to the pleading requirement of
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