DocketNumber: Docket No. 31993-87
Citation Numbers: 1991 U.S. Tax Ct. LEXIS 21, 96 T.C. No. 18, 96 T.C. 497
Judges: Wells
Filed Date: 3/26/1991
Status: Precedential
Modified Date: 10/19/2024
*21
P, a life insurance company, issued group term life insurance policies that provided extended life insurance coverage without further payment of premiums for employees who became totally disabled. P set aside a reserve for employees who had become disabled and eligible for the extended insurance.
*498 SUPPLEMENTAL FINDINGS OF FACT AND OPINION
Respondent determined a deficiency in petitioner's Federal income tax for the year ended December 31, 1980, in the amount of $ 6,223,612. The issues we consider in this supplemental opinion
FINDINGS OF FACT
Some of the facts have been stipulated for trial pursuant to Rule 91. The stipulations and accompanying exhibits are incorporated in this opinion irrespective of any restatement below. When the petition in the instant case was filed, petitioner had its principal place of business in Hartford, Connecticut. Because the issues are complex, our remaining findings of fact and opinion are set forth below under separate headings for each issue.
*499 I.
FINDINGS OF FACT
Prior to and during the year in issue, petitioner *24 issued group term life insurance policies to multiple-employer trusts (the trusts) (the memberships of which consisted of various employers) and to single employers. The policies insured the lives of each participating employee (hereinafter employee) of such employers during the period that the policy remained in force, and, in the case of trust policies, while the employer remained a participating member of the trust. The group term life insurance policies were for 1-year periods, and petitioner reserved the right to change the premium rates annually. Some of the policies could be discontinued by petitioner at the annual policy "anniversary" date upon the giving of 60 days' notice; other policies provided for termination by petitioner upon notice on any premium due date when there were less than a certain number or percentage of employees insured under the policies.
The policies contained special provisions for covered employees who became totally disabled and unable to work prior to reaching the age of 60. Under those provisions (denominated in the policies under the heading "Continuation of Insurance Provisions; Extended Insurance" and referred to herein as extended insurance*25 provisions *27
EXTENDED INSURANCE: If, while insured by these Life Insurance Provisions and prior to his sixtieth birthday, an employee becomes and remains totally disabled from an injury or a sickness which completely prevents him from engaging in any work for remuneration or profit, his insurance will continue for one year after cessation of premium payments thereon. If the employee dies within such year, due proof of the uninterrupted existence of such disability until death must be furnished Phoenix Mutual within one year after death.
*500 If the employee has become totally disabled under the conditions stated above and furnishes Phoenix Mutual, within the year after cessation of premium payments, due proof that such disability has existed uninterruptedly for nine months (herein called "initial proof"),
During the year in issue, petitioner established and maintained a reserve for the extended insurance provisions covering employees that had become disabled, in addition to reserves for the basic death benefits under its group term *501 life insurance contracts. On its annual statement filed with the State of Connecticut for the year in issue, the reserve for extended insurance was denominated a "Disability-Disabled Lives" reserve (hereinafter referred to as the disabled lives reserve). The disabled lives reserve reflected a contingent liability for death benefit payments with respect to employees who had
On its Federal income tax return*29 for the year in issue, petitioner reported the disabled lives reserve as a "life insurance reserve" under
OPINION
The issue we must decide concerns
(1) In general. -- For purposes of this part, the term "life insurance reserves" means amounts -- (A) which are computed or estimated on the basis of recognized mortality or morbidity tables and assumed rates of interest, and (B) which are set aside to mature or liquidate, either by payment or reinsurance, future unaccrued claims arising from life insurance, annuity, and noncancellable health and accident insurance contracts (including life insurance or annuity contracts combined with noncancellable health and accident insurance) involving, at the time with respect to which the reserve is computed, life, health, or accident contingencies. (2) Reserves must be required by law. -- * * * * * * * in addition to *30 the requirements set forth in paragraph (1), life insurance reserves must be required by law.
*502 Respondent concedes that the disabled lives reserve was computed on the basis of recognized mortality or morbidity tables and assumed rates of interest, satisfying the requirements of
Before we turn to an evaluation of the parties' arguments, a brief discussion of life insurance reserves and of the historical treatment of reserves for extended insurance for disabled individuals is useful.
The term "reserve," when used in the life insurance context, has a different meaning than that ordinarily*32 associated with the term. As one treatise states:
The word "reserve" is somewhat misleading, since it does not have the same use here as in the usual commercial dealings * * *. The policy reserve of a life insurance company is a
*503 Likewise, we have stated that life insurance reserves "are bookkeeping entries reflecting liabilities on the insurance company's books and
Life insurance provisions providing extended insurance coverage to disabled individuals without payment of premiums also are sometimes referred to as "waiver of premium" provisions. See D. Gregg, Group Life Insurance 73, 75 (3d ed. 1973);
Reserves related to waiver of premium provisions received judicial attention around 1940. The issue in those early controversies involved the requirement that an amount relate to future "
The Commissioner contends that this is not a technical insurance reserve because, he says, it is maintained to pay claims which have already accrued or matured.
* * * *
The claim is not accrued because, though the disability has been incurred,
[
The Supreme Court agreed with such analysis and invalidated regulations which excluded from "reserves" amounts representing the "estimated value of future premiums which have been waived on*38 policies after proof of total and permanent disability."
In 1970, the Internal Revenue Service ruled that the holdings in
In 1980, the Internal Revenue Service "clarified"
Respondent makes two arguments on brief in support of his position that the disabled lives reserve does not qualify as a life insurance reserve. First respondent argues that extended insurance is
Respondent cites a variety of treatises for the proposition that waiver of premium provisions are a type of "disability benefit." Petitioner offers citations of its own referring to the benefits as "extension(s) of
That the extended insurance provisions*42 "benefit" disabled employees is clear, as that is the purpose for which they are designed. As the Claims Court noted in
In interpreting
which are set aside
Thus, qualification of a reserve as a "life insurance reserve" depends upon the nature of the claim which the reserve is set aside
The only other court to have addressed the "health versus life insurance" issue is the Claims Court in
The purpose of considering the mortality element * * * in casualty insurance is the opposite of that of the reserve for the life risk in a life *509 insurance policy. The mortality element in a life policy requires the establishment of a reserve sufficient to meet the policy obligations at maturity; that is, at death.
The opinions of the District Court and the Fifth Circuit in
The disabled insured's life expectancy is substantially shorter than a normal, healthy insured. Although an amount is included in the basic life reserve for the underlying life policy, the Reserve for Disability-Disabled Lives is set up to recognize that a liability exists for a risk which is far greater than the risk recognized under the basic policy. The assumption is that since the individual is totally disabled, there is a very good chance that the insurance company is going to incur a claim on that individual in the near future. * * * The Disability-Disabled Lives Reserve is a reserve that needs to be established to properly reflect Group Life's liability with respect to increased exposure as a result of disabled policyholders and, therefore, is an amount under
On appeal, the Fifth Circuit, reversing the District Court, held that the reserve in question failed the requirements of*48
Previous cases involving the application of
The Government fails to recognize that the [guaranteed insurability] option is one of the insurance protections afforded by the very insurance policy initially issued to the policyholder. The policyholder not only is given coverage for the face amount of his current policy but also is guaranteed the option to elect additional coverage at certain specified dates in the future. Thus, we do not think these reserves should fail to *511 qualify on the asserted ground that they are not maintained with respect to existing policies. [
The Court of Claims' decision in
Similarly, in
We * * * find that the insurer, in making payment under the specific settlement option involved in this controversy, does not enter into a new contract with the beneficiary but merely carries out the contractual obligation which arose with the initial issuance of the life insurance contract. [
*54
Thus, in
The most recent decision of this Court to interpret
The issue in
petitioner's cash surrender values may be considered future unaccrued claims within the meaning of
The cash surrender value for one of petitioner's universal life policies could not be practically or meaningfully divorced from the life insurance contract or its associated insurance protection. A policyholder did not purchase the insurance component and the excess cash surrender value component separately. In fact, the cash surrender value was not available to the policyholder, other than by*57 means of a loan, unless the policyholder surrendered the policy and its insurance protection. [
*514 Applying our reasoning in
Second, respondent argues that the legislative history of
The language of
Relying on the foregoing technical insurance reserve requirements, the Government attempted to deny preferential treatment to a variety of reserves, including "waiver of premium" reserves under life insurance policies (discussed above), basic health insurance reserves, and other miscellaneous reserves. See, e.g.,
The 1942 Act distinguished the treatment of a life insurance company's reserves on cancelable versus noncancelable health insurance. H. Rept. 2333, 77th Cong., 1st Sess. (1942),
We are not convinced that Congress intended to change the treatment of waiver of premium reserves as part of the 1942 Act. As indicated in
As the term is used in the industry, a noncancelable insurance policy means a contract which the insurance company is under an obligation to renew at a specified premium, and with respect to which a reserve in addition to the pro rata unearned premium must be carried to cover the renewal obligation. * * *
H. Rept. 2333, 77th Cong., 2d Sess. (1942),
*68 In conclusion, we hold that petitioner's disabled lives reserve qualifies as a life insurance reserve under FINDINGS OF FACT During the year in issue, petitioner sold and maintained various types of group term life insurance policies (collectively, group policies), including policies sold to individual employers (employer policies), policies sold to multiple employer trusts (trust policies), franchise mortgage protection life insurance marketed through banks to individuals (franchise policies), group mortgage protection life insurance *519 marketed through banks to individuals (mortgage policies), and group credit insurance (credit policies). The term of each such policy depended on the relevant contractual provisions, with employer policies and trust policies providing insurance for successive 1-year terms, and franchise and mortgage policies providing a term of coverage which matches the term of the mortgage obligation. Premiums under petitioner's employer or trust policies were payable annually, semiannually, quarterly, or monthly at the option of the policyholder, while premiums under petitioner's franchise, credit, and mortgage policies were payable monthly. The National Association*70 of Insurance Commissioners (NAIC) is an organization of State insurance commissioners. The financial statement form prescribed by the NAIC is known in the life insurance industry as the "annual statement" (annual statement) and must be filed annually in each State in which a life insurance company does business. During the year at issue and at all relevant times, petitioner was regulated by the Insurance Commissioner of the State of Connecticut (the insurance commissioner) and filed annual statements with the insurance commissioner. For annual statement purposes, "deferred premiums" on a life insurance policy are premium installments due between the yearend annual statement date and the next policy anniversary date, and "uncollected premiums" are premium installments that actually have been billed as of yearend but remain due and unpaid. In filing its annual statement with the insurance commissioner, petitioner utilized an "annual premium assumption" for its ordinary life policies as well as for the group policies. An annual premium assumption is an assumption that the Under an annual premium assumption, as of the annual statement date (December 31) deferred and uncollected premiums are deemed to be With respect to insurance companies filing in Connecticut, the annual premium assumption is used The manner in which an annual premium assumption (or mean reserve method) increases reserves for term life insurance policies may be illustrated by an example. The *521 "unearned premium reserve" *74 premiums Connecticut adopted the NAIC's "Standard Valuation Law," *522 however, it cannot reduce that reserve without the approval of the insurance*76 commissioner. *77 OPINION The resolution of the treatment of deferred and uncollected premiums in the instant case involves the application of the Supreme Court's holding in In the instant case, petitioner included amounts attributable to deferred and uncollected premiums on its group term life insurance policies in life insurance reserves, assets, and premium income. Notwithstanding the partially offsetting results of those entries, the net effect of such inclusion *524 was to decrease petitioner's taxable income for the year in issue. Respondent's notice of deficiency states that petitioner's reserves held with respect to deferred and uncollected premiums do not qualify as life insurance reserves. The notice of deficiency also makes a correlative adjustment to assets. While acknowledging*80 that the Supreme Court expressly did not limit its holding in *81 We are unwilling to adopt respondent's distinction of *526 Respondent further argues that the Because the Supreme Court's findings as to State and NAIC "requirements" in In On its face, the phrase "required by law" would appear to exclude a reserve which in the first instance was permissive rather than mandatory. In the taxation of the life insurance industry, however, we must look beyond the ordinary meaning of the words in the statute. It cannot seriously be argued that the additional reserve voluntarily set up by the petitioner prior to the years before the Court was not required to be maintained by virtue of the regulatory powers specifically granted to the State commissioner of banking and insurance. In the taxable years under consideration, therefore, there was on the books of the petitioner a reserve established in prior years pursuant to State law which had achieved the status of a reserve required to be maintained under the regulatory authority of the State agency. * * * [ Thus, while the initial decision to set up a reserve was entirely voluntary, In Any * * * company which at any time shall have adopted any standard of valuation*89 producing greater aggregate reserves than those calculated according to the minimum standard herein provided may, We recognize that the Claims Court has reached a contrary conclusion in a case also involving reserves with respect to deferred and uncollected premiums. Respondent, moreover, urges us to adopt the approach of the First Circuit in In conclusion, we hold that petitioner's reserve with respect to deferred and uncollected premiums on group term life insurance policies was "required by law" under We believe that the foregoing analysis also applies in deciding whether the annual premium assumption was, under the flush language of (b) Moreover, *94 Respondent makes one further argument for excluding petitioner's reserve attributable to deferred and uncollected premiums from "life insurance reserves." Specifically, respondent argues that the reserve was not an amount "set aside" as required by A [life insurance] reserve is not and never has been a "fund" in the legal sense. The current regulations could also lead to some misunderstanding when they state that "such amounts must actually be held by the company during the taxable year." *95 Reserves are not amounts set apart from the general assets of the company. Instead, the company, by establishing reserves on its books, represents that it will have sufficient assets to back up those reserves and thereby provide the necessary solvency needed to meet policyholder claims. Any argument that a reserve is a fund separate and apart from the general assets of an insurance company is quickly rebutted when one remembers that from 1909 to the current date Congress has attempted to allow deductions or exclusions predicated only on reserves which are "required by [State] law," that is, reserves which represent liabilities on a company's *96 An insurance treatise similarly states that: To qualify as a life insurance reserve, amounts must be "set aside." This does not mean that specific amounts of assets must be earmarked for a particular purpose. The regulations say that reserves must actually be held by the life insurance company to qualify as life insurance reserves. This requirement is generally satisfied by reflecting the reserve in the annual statement. [K. Tucker & D. Van Mieghem, Federal Taxation of Insurance Companies, par. 2.24 (1986); fn. refs. omitted.] *532 Moreover, we believe that the Supreme Court's analysis in Based on the foregoing, we hold that petitioner properly included net deferred and uncollected premiums in life insurance reserves, assets, and premium income. *100 III. FINDINGS OF FACT During the year in issue, petitioner sold life insurance policies through life insurance agents. The relationship between petitioner and its agents was governed by the terms of "Standard Commission Contracts" (contracts) entered into between petitioner and the agents. Under the contracts, petitioner gave the agent the right, among other things, to solicit applications for insurance and to "service" the resulting policies subject to the contract terms and company regulations. The contracts themselves did not specify any servicing activities required of an agent. Nevertheless, petitioner's "Rate Manual," which was supplied to every agent during the year in issue as a guide and reference source to agents' activities, indicated that the agents had immediate responsibility for the quality of certain policyholder services because the agents had direct contact with policyholders. The section of the Rate Manual entitled "Agent's Digest of Policyholder Service" informed agents of the appropriate form and signature requirements for numerous service transactions, including assignments, beneficiary changes, policy changes, *101 and policy loans (including premium loans, cash loans, and automatic premium loans). *534 Petitioner's "Branch Office Manual," which contained rules and regulations for the operation of petitioner's branch offices, also referred to the services provided by agents to policyholders and contained specific rules for the provision of continued service to "orphan" policyholders, that is, those policyholders for whom the original selling agent was unable to deliver adequate service (sometimes because of termination of the agency with petitioner). The Branch Office Manual also contained information about petitioner's "Policyholder Service Reports," which were documents prepared by petitioner's centralized service center, distributed to petitioner's branch offices, and finally sent to petitioner's agents for delivery to policyholders. Policyholder service reports contained detailed information about the status of the policy, including facts about policy loans. During the year in issue, 85 percent of the ordinary life insurance policies issued by petitioner were whole life and endowment contracts which had "cash values." The policies with cash values generally contained provisions permitting*102 policyholders to borrow against such values; under those provisions, petitioner was obligated to make policy loans, within certain limits, without regard to the desirability or profitability of such loans relative to other investments available to petitioner. The interest rates charged by petitioner on policy loans generally were lower than current market rates at the time the loans were extended. During the year in issue, Connecticut law provided for a maximum fixed interest rate of 8 percent on policy loans, and the interest rates on petitioner's policy loans varied between approximately 6 and 8 percent. Some of the cash value life insurance policies issued by petitioner during the year in issue and in prior years were marketed on a "minimum deposit" basis to high income individuals and corporations (such policies are hereinafter referred to as minimum deposit policies). Minimum deposit was a method of reducing the after-tax cost of insurance by financing premium payments with regular policy loans. However, for the interest payments on such loans to be deductible for Federal income tax purposes under section 264(c), four out of the first seven annual premiums had to be paid *103 other than through borrowing against cash value. *535 Petitioner was an industry leader in the minimum deposit market, having designed four types of minimum deposit policies. Between 75 and 80 percent of the cash values of petitioner's minimum deposit policies were utilized as policy loans. As of December 31, 1980, the dollar amount of petitioner's outstanding policy loans was $ 664,145,903. The sales efforts required to sell minimum deposit policies were more extensive than the efforts required for the sale of other life insurance policies. Multiple written borrowing proposals were prepared by branch office personnel based on information supplied by the agents. The agents then were responsible for explaining the mechanics and tax consequences of each option to the prospective policyholder and the policyholder's tax adviser. Each year, moreover, the policyholder of a minimum deposit policy would receive a computer-generated notice stating that the gross annual premium was due; such notice would not contain any information about the option of borrowing to pay such premium. It therefore was an agent's responsibility to contact the minimum deposit policyholder and explain, *104 either in person or by letter, the options available to the policyholder with respect to "payment" of the premium billed. Not all of petitioner's agents had significant involvement in the sale of minimum deposit policies; minimum deposit policies generally were written by more experienced agents. Policies other than minimum deposit policies had loan features, but such loan features were not always utilized by the policyholders; in some instances the cash value of such policies did not support significant policy loans until the passage of many years. Petitioner attempted to discourage systematic borrowing from ordinary life insurance policies that were not designed specifically for minimum deposit. As of the end of the year 1981, with respect to in-force life insurance and endowment policies issued by petitioner prior to 1981, 64 percent of the total cash value of such policies was borrowed. Petitioner's agents' compensation was based on commissions equal to various percentages of first year and renewal premiums on policies sold. The duration of renewal commissions depended upon several factors, including the agent's *536 annual production of new paid premiums and the agent's*105 length of service with petitioner. Because the receipt of renewal commissions always depended upon petitioner's continued receipt of premium payments, agents had an incentive to provide policyholders with adequate service to prevent policyholders from moving their business to a competitor. Under the agents' contracts, petitioner paid "vested" renewal commissions to the agent who had sold the policy even if the selling agent was no longer under contract with petitioner. If the selling agent was unable to continue to provide service to a policyholder, the "orphaned" policyholder generally would be assigned another agent. In the case of "orphaned" minimum deposit policyholders, agents assigned to service those policyholders had an incentive to provide quality service (despite the absence of any renewal commission) because the policyholders generally were affluent individuals who might make other insurance purchases. Under the agents' contracts, in addition to the first year and renewal commissions, agents were entitled to "persistency bonuses," which bonuses were not vested but were dependent on the continuation of a contractual relationship between the agent and petitioner. Agents*106 who satisfied minimum production levels also received reimbursement from petitioner of a portion of their administrative expenses as well as benefit packages consisting of health insurance, short-term disability insurance, and group life insurance. Petitioner's branch offices did not provide general secretarial assistance to the agents. In 1977, petitioner surveyed (the 1977 survey) its top-producing agents. An "Agency Vice President Newsletter" described the 1977 survey as follows: In a few days, a number of selected agents will be asked to participate in a study of the time agents spend in activities directly related to policy loans. The reason for the study is that in the corporate tax returns policy loans are considered an expense and such expenses are tax deductible. As you know, these are the only expenses for which we are allowed a tax deduction. All other field expenses are paid by the company without benefit of tax relief. Since the study occurs at a time when we are actively seeking more full premium business, there is the possibility that some agents may interpret the study as somehow being connected with their minimum deposit sales. *537 Consequently, they may*107 be suspicious or reluctant participants. * * * Please encourage your agents to participate fully since the results of the study will enable us to document considerable tax savings. A cover memorandum sent to "Office Managers and Office Supervisors" in connection with the 1977 survey explained the tax-oriented purpose of the 1977 survey and directed office managers and supervisors to explain such purpose to the agents and assist them in completing the survey. The high-producing agents to whom the 1977 survey was distributed comprised the category of agents most likely to sell minimum deposit policies. During the year in issue, petitioner paid or incurred $ 32,689,623 in agents' commissions on its ordinary (i.e., individual) life insurance business, including whole life, annuity, endowment, and term policies. Fifteen percent of the ordinary life insurance policies issued by petitioner during the year in issue were term policies which do not have cash values and with respect to which petitioner did not extend any policy loans. Petitioner, however, did not maintain statistics identifying the amount of agents' commissions attributable to sales of such term policies. On its Federal*108 income tax return for the year in issue, petitioner treated approximately 34 percent of the agents' commissions, or $ 11,147,161, as investment expenses. That percentage was calculated by dividing petitioner's gross investment income attributable to ordinary life insurance products ($ 141,794,036) by its total gross income (investment income plus premium income, or $ 415,774,862) attributable to such products. The amount of interest income from policy loans received by petitioner during the year in issue (and included in gross investment income of $ 141,794,036 on petitioner's return) was $ 33,231,123. OPINION Respondent's determination disallowed the deduction of the $ 11,147,161 in agents' commissions as investment expenses under Petitioner contends that commissions paid to its agents qualify under *111 Respondent's argument that the agents' commissions were incurred In the instant case, the evidence clearly shows that the activities of petitioner's agents "generated" investment income in the form of policy loan interest. Respondent, however, maintains that it is inappropriate to use policy loan activities as a basis for treating commissions as an investment expense because (a) commissions do not increase proportionately with increased policy loans, (b) commissions are taken into account in pricing (1) the use of premiums alone for calculating the agents' commissions is not dispositive, since those commissions are intended as full compensation for all of the agents' duties, including the loan work. (2) The profitability of the policy loans as investments is also of little significance in this inquiry; profitable or not, the loans*113 were legitimate interest-bearing investments with expenses connected to them. (3) The inclusion in the premium calculation of the costs of loan services actually supports the plaintiff's position, since the compensation for the field representatives' services is calculated directly from those premiums. (4) Plaintiff's motive in making the policy loans is irrelevant to the question of whether or not they were investments. We find Having decided the question of whether any of the agents' commissions may be assigned to investment expenses, we next inquire into the proper method for making the assignment. Petitioner would have us look past the policy loan activities of its agents in determining the commissions "fairly chargeable" *542 against investment income (based on the ratio of total investment income from ordinary policies to total income, including premium income, from*118 such policies). We do not agree with petitioner's position. Petitioner basically concedes that the only investment-oriented activities of its agents were policy loan activities. The notion that agents' commissions may be allocated to investment expenses to the extent that they relate to policy loan services of the agents is also indicated in several insurance treatises. *120 See Ernst & Whinney, Federal Income Taxation of Life Insurance Companies 10-18 to 10-20.2 (2d ed. 1989); T. Nash, We agree with respondent that the 1977 survey is flawed in several respects. First, the surveyed agents were petitioner's "highest producers" in total premium income and admittedly were more likely to engage in minimum deposit policy sales than the average agent. Such a "skew" towards agents likely to engage in loan activities was exacerbated by the "weighing" of the results of one of the questions by reference to the volume of renewal commissions received by the agent. Second, the cover memorandum issued to office managers and supervisors indicates that the surveyed agents may have been informed of the tax-oriented purpose of the survey and of the preferability of high responses to questions about the percentage of time spent on policy *545 *125 loans. While petitioner's expert concluded that such bias in favor of high responses was "probably cancelled out" by a competing bias (namely, petitioner's encouragement of "full premium" business), such "cancelling" of biases does not convince us that the 1977 survey was completely objective. Third, the 1977 survey was designed by employees of petitioner rather than by survey experts. In To establish the trustworthiness of a survey, it must be shown (1) that a proper "universe" was examined and a representative sample was chosen; (2) that the persons conducting the survey were experts; (3) that the data were properly gathered and accurately reported; (4) that the sample design, the questionnaires, and the manner of interviewing met the standards of objective surveying statistical techniques; and (5) that the interviewers, *126 as well as the respondents, were unaware of the purpose of the survey. [ Petitioner also submitted the results of the 1988 survey as part of an expert report. While the author of that expert report concededly is an expert in statistics, the 1988 survey suffers from one of the same flaws as the 1977 survey, namely, the use of a sampling of agents not representative of a cross section of all agents. On cross-examination, petitioner's expert confirmed that the agents surveyed by his organization were members of petitioner's "presidents' club" and "directors' club" and represented top producing, more experienced agents. He also stated in that regard that "The relatively new agents I don't think would have been involved in policy loan activities very much." The results of the 1988 survey therefore were skewed in favor of agents engaged in higher than average loan activity. *128 Petitioner's expert report also suffered from additional flaws, most notably its reliance on the results of the 1977 survey in drawing a conclusion with respect to the year in issue. While the report noted two independent studies as "a backdrop against which to evaluate Phoenix Mutual's [1977] study," the responses in those studies apparently included "servicing activities" other than policy loan activities, and the populations surveyed included only members of the National Association of Life Underwriters, who are typically more experienced agents. Petitioner's expert report presents the following chart summarizing the 1988 survey and the 1977 survey: The report concludes by stating that: "My best estimate of the 1980 percentages would be that they are between the 1980 [sic] and 1977 figures, and probably closer to the 1977 figures than the 1988 figures since the tax situation was more similar to 1977 than to 1988." Based on that *547 conclusion, petitioner argues for an allocation to investment expense of 17 percent of first-year*129 commissions and 19 percent of renewal commissions paid during the year in issue. While we rejected petitioner's allocation of commissions based on the ratio of After weighing all of the evidence in the instant case, including the trial testimony of petitioner's agents and the stipulated testimony of other agents, we find that petitioner is entitled to an allocation of some portion of its agents' commissions to the investment function. We, however, do not agree with any of the percentages suggested by petitioner. Therefore, applying our authority under To reflect the foregoing,
Respondent, on brief, similarly indicates that there is no suggestion in the
We then quoted
The Third Circuit agreed, explaining that:
Characterizing our holding in
Recently, we also have characterized life insurance reserves as "bookkeeping entries reflecting liabilities on the insurance company's books and * * * not * * * funds actually set aside in something like a trust fund. * * * It is the company's surplus that actually protects the policyholders."
In view of the critical importance of the definition of reserves in the entire statutory scheme, as well as in the conduct of the company's business,
The Supreme Court then expressly
The issue is simple and clearcut: Does the loan servicing work of the field representatives generate investment income? If so, an allocable portion of the commissions paid as compensation for those activities is a legitimate investment expense. * * * [
Thus, according to the Fourth Circuit's reasoning, where an activity generates investment income, some amount of the expense associated with the activity should be deductible against such income. The statute is silent on the issue, and
While agreeing that the survey failed the above requirements in light of flaws similar to those present here (including the fact that only Percent of time devoted to investments and policy loans in: Year of study Sales presentation Service 1988 13% 7% 1977 17 19
1. The issues decided in this supplemental opinion are the ones remaining after the issuance of our opinion reported at
2. Unless otherwise indicated, all section references are to the Internal Revenue Code as amended and in effect for the year in issue, and all Rule references are to the Tax Court Rules of Practice and Procedure.↩
3. Our use of the term "extended insurance" is not meant to have any substantive effect on the classification of the coverage as life versus health insurance.↩
4. The "Conversion Privilege" referred to in the extended insurance provision was a right on the part of the employee to obtain an
5. Compare
6. In general terms, the "net premium," or "net valuation premium," is the portion of the gross premium charged by the insurance company which, when accumulated at interest, is designed to meet the payment of insurance benefits. The other portion of the gross premium is the "loading" portion, which is used to pay other expenses of the insurance company and to provide a profit and potential source of dividends for the company. S. Huebner & K. Black, Life Insurance 364, 368 (10th ed. 1982);
7. Art. 203(a)(2)-1 of Regulations 86 (1935).↩
8. It is noted that rulings of the Internal Revenue Service do not constitute binding authority in this Court.
9. The sample contracts submitted in evidence in the instant case also included separate "Accident and Sickness Insurance Provisions" not at issue.↩
10. The taxpayer in
11. In
12. Citing
13. The First Circuit went on, however, to find that the reserve failed the computational requirements of
14. In light of our conclusion that the cash value claims involved life contingencies, we found it unnecessary to adopt the Government's "broad construction" of
15. Formerly contained in
16. See
17. The legislative history of
18.
19.
20.
21.
22.
23. We note in that regard that, after the Supreme Court in
24. The legislative history's discussion of the pro rata unearned premium reserve and the "additional reserve" necessary for noncancelable health and accident insurance policies mirrors the descriptions of reserves on cancelable versus noncancelable health insurance found in
25.
26. We note that petitioner submitted an expert report by an actuary, Daniel J. McCarthy (presumably the same individual whose affidavit was offered in
27. The reserve method associated with use of an annual premium assumption is also referred to as a "mean" reserve method. Such term arose historically due to the additional assumption, traditionally made, that each policy was issued halfway through the calendar year. Petitioner did not utilize that second assumption but instead calculated deferred and uncollected premiums using the
28. See
29. The concept behind an unearned premium reserve is that premiums paid in advance are "earned" ratably by the insurer over the policy period as the protection is provided. O.D. Dickerson, Health Insurance 604 (3d ed. 1968).↩
30. A large percentage of petitioner's policies had policy anniversary dates falling between July and October.↩
31.
32.
(g)(1) In no event shall a company's aggregate reserves for all life insurance policies, excluding disability and accidental death benefits, issued on or after the effective date as specified in accordance with the provisions of subsection (h) of this section of the general statues, revision of 1958, revised to 1981, be less than the aggregate reserves calculated in accordance with the methods set forth in subsections (d), (e), (g), and (i) of this section, and the mortality table or tables and rate or rates of interest used in calculating nonforfeiture benefits for such policies; (2) reserves for any category of policies, contracts or benefits as established by the commissioner may be calculated, at the option of the company, according to any standards which produce greater aggregate reserves for such category than those calculated according to the minimum standard herein provided, but the rate or rates of interest used for policies and contracts other than annuity and pure endowment contracts, shall not be higher than the corresponding rate or rates of interest used in calculating any nonforfeiture benefits provided for therein; (3)
33. The parties stipulated that all of the policies for which reserve deductions are in issue are "group" policies, and our reference to group policies is meant to encompass all of such policies, despite petitioner's request that we find the franchise policies to be "individual" policies.↩
34.
(1) under an accrual method of accounting, or (2) to the extent permitted under regulations prescribed by the Secretary, under a combination of an accrual method of accounting with any other method permitted by this chapter (other than the cash receipts and disbursements method).
[Emphasis supplied.]↩
35. The Deficit Reduction Act of 1984, Pub. L. 98-369, 98 Stat. 494, reversed the Supreme Court's holding in
36. Mr. McCan worked in the valuation (i.e., reserve computation) section of the insurance commissioner's examination division for 27 years and became chief of the examination division in 1971. The responsibility of the valuation section in which Mr. McCan worked was to audit the life insurance reserves contained in exhibit 8 of the annual statement.↩
37. In
38. We relied on similar testimony by an employee of a State insurance department as to State law reserving requirements in
39. A Society of Actuaries study (study) detailing NAIC accounting practices for group term life insurance policies indicates that the annual statement form, or "blank," assumes that reserves on such policies are computed in the same manner as reserves for ordinary 1-year term insurance (i.e., using an annual premium assumption).↩
40. Discussed
41. Quoted
42. As noted in
43. Respondent's notice of deficiency refers to the reserve "held" by petitioner with respect to deferred and uncollected premiums. Petitioner, however, responds to respondent's "set aside" argument on the merits in its reply brief and apparently does not claim that such issue was raised too late by respondent.↩
44. See
45. See T. Nash, Federal Taxation of Life Insurance Companies 8-22 (1983) in which it is stated:
In accounting for the [deferred and uncollected premium] reserves, there were basically two methods which could have been used to correct this overstatement. The first method would have been to show the deferred premium as an offset to the reserve, thus reducing the total reserve to a figure which would have reflected a paid-for basis.
46. We note that one of the expert reports submitted by respondent with respect to the deferred and uncollected premium issue concluded that, if it were determined that a reserve with respect to deferred and uncollected premiums
47. Pub. L. 86-69, 73 Stat. 112, effective for taxable years beginning after Dec. 31, 1957.↩
48. The distinction is of historical significance; from 1921 through 1957, life insurance companies were taxed on net investment income but not income from their insurance business. See Harman, "The Pattern of Life Insurance Company Taxation Under the 1959 Act," 15th Ann. Tul. Tax. Inst. 686, 715 (1965).↩
49. In the instant case, petitioner did not allocate any agents' commissions to investment expenses in its annual statement. However, the court in
50.
51.
52.
53.
54. See
55. We note that the Sixth Circuit in
56. This Court was reversed by the Sixth Circuit on the threshold issue of whether
57. One of respondent's experts, Mr. Clint E. Edwards, submitted a report indicating that first year commissions are not allocable against investment income at all and that renewal commissions are allocable to policyholder servicing functions only to the extent of the percentage paid for nonvested "persistency bonuses." Mr. Edwards' report suggests treating the persistency bonus percentage as allocable to
We also considered respondent's other expert report, prepared by Mr. Arthur C. Eddy, and do not find it persuasive.↩
Helvering v. Oregon Mutual Life Insurance , 61 S. Ct. 207 ( 1940 )
Alinco Life Insurance Company v. The United States , 373 F.2d 336 ( 1967 )
Maryland Casualty Co. v. United States , 40 S. Ct. 155 ( 1920 )
Cohan v. Commissioner of Internal Revenue , 39 F.2d 540 ( 1930 )
New World Life Ins. Co. v. United States , 26 F. Supp. 444 ( 1939 )
Commissioner of Internal Revenue v. Pan-American Life Ins. , 111 F.2d 366 ( 1940 )
Group Life and Health Insurance Company v. The United ... , 660 F.2d 1042 ( 1981 )
Liberty National Life Insurance Company, Cross-Appellant v. ... , 816 F.2d 1520 ( 1987 )
McCoach v. Insurance Co. of North America , 37 S. Ct. 709 ( 1917 )
Helvering v. Inter-Mountain Life Insurance , 55 S. Ct. 572 ( 1935 )
The Union Central Life Insurance Company, Cross-Appellant v.... , 720 F.2d 420 ( 1983 )
Unum Life Insurance Company v. United States , 897 F.2d 599 ( 1990 )
Lutheran Mutual Life Insurance Company v. United States , 816 F.2d 376 ( 1987 )
The Mutual Benefit Life Insurance Company, (James P. Moore, ... , 488 F.2d 1101 ( 1974 )
economy-finance-corporation-transferee-of-the-assets-of-national-public , 501 F.2d 466 ( 1974 )
Union Mutual Life Insurance Company, Plaintiff-Appellee-... , 570 F.2d 382 ( 1978 )
Commissioner of Internal Rev. v. Monarch Life Ins. Co. , 114 F.2d 314 ( 1940 )
United States v. Occidental Life Insurance Company of ... , 385 F.2d 1 ( 1967 )
United Benefit Life Insurance Company, a Corporation v. ... , 414 F.2d 928 ( 1969 )
liberty-life-insurance-company-plaintiff-appellee-cross-appellant-v , 594 F.2d 21 ( 1979 )