FIRST RAILROAD & BANKING COMPANY OF GEORGIA, Plaintiff-Appellee, v. UNITED STATES of America, Defendant-Appellant.
No. 73-3184.
United States Court of Appeals, Fifth Circuit.
June 11, 1975.
Rehearing and Rehearing En Banc Denied Oct. 8, 1975.
514 F.2d 675
James R. Harper, Atlanta, Ga., for plaintiff-appellee.
Appeal from the United States District Court for the Southern District of Georgia.
Before BROWN, Chief Judge, and GODBOLD and RONEY, Circuit Judges.
JOHN R. BROWN, Chief Judge:
The Government appeals from a judgment granting First R.R. & Banking Company of Georgia‘s (taxpayer‘s) prayer for recovery of a deficiency assessment, paid for the years 1961 through 1964. It is argued the District Court erroneously held taxpayer was entitled to exclude the income of a sub-subsidiary, First of Georgia Life Insurance
Both on appeal and in the District Court, the Government challenges Insurer‘s ability to satisfy the 50% reserve ratio test of
Reinsurer desired to enter the credit5 life and A&H business. Georgia law requires an insurance company writing such policies to qualify as a life insurance company. Insurer was organized for the purpose of qualifying, because Reinsurer could not.
Insurer was capitalized with $400,000. Georgia requires that insurers maintain cash reserves to cover payment of potential insurance liabilities. These reserves must equal the total “unearned premium“.6 Assets exceeding reserves are “surplus“, and Georgia insurance officials measure a company‘s solvency by comparing surplus to reserves. The record shows that Georgia permits reserves to reach a level one and a half to two times surplus.
In Insurer‘s case, this limit was approached rather quickly because of a “provisional commission” arrangement with its agents. Under the arrangement, each agent initially retained 50% of all premiums collected—but Insurer was nevertheless required to maintain reserves equal to 100% of the policy-premiums. As Insurer wanted to undertake a greater volume of business, it entered into the Reinsurance Treaty with Reinsurer, its parent.
But non-basically, the true nature of the Reinsurance Treaty can only be seen when the commission arrangement is detailed. Reinsurer agreed to pay Insurer a 96% commission on all business the Reinsurer received under the Treaty. The commission was payable, however, only at the end of the coverage period—and then only after “adjustment“. And the adjustment was a dollar-for-dollar deduction of any loss (paid-out claim) experienced under the policies. Further, if the claim-loss exceeded the premium on that particular policy, Reinsurer was further entitled to set-off the excess against commissions payable on policies against which no claims had been asserted. And still further, if the claim-loss for any accounting period exceeded commission payable for that period, the excess could be carried forward, and set-off against succeeding commission payments.
In short, the economic substance of the arrangement was that as between taxpayer‘s issue, Insurer suffered or enjoyed fate‘s capricious precipitation of policy-claims, while the Reinsurer, for a 4% fee, provided in effect a line of credit in case periodic claims reached abnormally high levels. And since the record shows that claim-losses over time averaged only about 22% of total premiums received there was no likelihood that Reinsurer as an economic matter would ever sustain any losses. Reinsurer under the arrangement did not bear any risks except the outside possibility of insolvency of Insurer.8 We hold therefore there was no substance to the agreement as reinsurance.
We in no way denigrate the salutary holding of Gregory v. Helvering, 1935, 293 U.S. 465, 55 S.Ct. 266, 79 L.Ed. 596, that taxpayers are free to arrange their affairs in a way which entitles them to tax advantages. Nor do we question the validity of everyone‘s business reasons for establishing this Treaty arrangement—indeed we have carefully explained it, ante. But the issue is not whether the Treaty will be recognized for tax purposes vel non, but given the Treaty, what are its tax consequences and that depends on whether it really amounts to reinsurance as contemplated in the Act.
The Seventh Circuit recently considered this credit-insurance reinsurance reserve problem.9 But they did not reserve the question—they considered very carefully the legislative history of
We have examined the Seventh Circuit‘s rationale—as well as Judge Stevens’ dissent and the various post-argument papers submitted by all the parties in our case. We think the majority‘s is the sounder approach—relying as it does on underlying Congressional intent and an analysis of the arrangement in the light of practical realities. We accept its reasoning and result.11
Reversed.
RONEY, Circuit Judge (dissenting):
I respectfully dissent for the reasons set forth in Judge Alaimo‘s opinion in this case, and in Judge Steven‘s dissent in Economy Finance Corp. v. United States, 501 F.2d 466 (7th Cir. 1974), cert. denied, 420 U.S. 947, 95 S.Ct. 1328, 43 L.Ed.2d 425 (1975). Had Congress desired to define a life insurance company in terms of the ultimate risk, it could have easily done so. The judicial overlay to that effect is an unnecessary intrusion into the legislative process. Reserves being the lodestar, they should control. Although the majority holds there was no substance to the reinsurance agreement, without even a bow to the clearly erroneous rule, the district court having found factually to the contrary, there was certainly legal substance. The reinsurer was required to commit its assets to reserve status for insurance purposes and to pay tax on the reserve income for tax purposes. It bore all of the legal consequences of required reserves, the reinsured none. This decision throws confusion into a statutory enactment that deserves simpler application.
Notes
Despite this transfer of minimal risk under the Reinsurance Treaty, there were substantial non-tax purposes for entering into the arrangement. App. 249-50. The fact that the state insurance authorities permitted the “reserves” to be handled as done by Insurer and Reinsurer cannot overcome these economic realities.Thus, assuming solvency of Georgia Credit Life, Georgia Insurance would eventually recapture all losses incurred by reason of its assumption of the quota share liability. Therefore, the risk of loss upon Georgia Insurance was, in actuality, remote. In order for it to sustain permanent out of pocket losses on liability under the subject policies, there would have to be valid claims exceeding 96% of the reinsurer‘s earned premium; and additionally, Georgia Credit Life would have to be insolvent so as to preclude recapture of those losses in subsequent accounting periods.
