475 F.2d 612 | Ct. Cl. | 1973
Lead Opinion
delivered the opinion of the court:
The plaintiff is a life insurance company organized under the laws of the State of Texas, with its principal place of business located in Dallas, Texas. The plaintiff is qualified and licensed to do business in 49 states, in Puerto Rico, in the District of Columbia, and in Canada.
This case involves nonparticipating insurance in the form of guaranteed renewable policies issued by the plaintiff. Such a policy is a health and accident insurance contract, or a health and accident insurance contract combined with a life insurance or annuity contract, which the plaintiff enters into with a policyholder and which cannot be canceled by the plaintiff during the life of the insured for any reason except the nonpayment of premiums but under which the plaintiff reserves the right under certain circumstances to adjust premium rates by class. A class of insureds may be defined as insureds having the same policy form, being of the same age, sex, and occupational risk classification, and sometimes also being located in a particular territorial region. In other words, so long as an insured pays the premiums when they become due under a guaranteed renewable insurance policy, the plaintiff is obligated to continue the policy in force during the life of the insured. The level premium stated in the policy will also continue subject to the proviso that it can be raised if the premium for the whole class can be raised.
An amount equal to 10 percent of the increase for the taxable year in the reserves for nonparticipating contracts or (if greater') cm amcnmt egual to S percent of the premiums for the taxable year * * * attributable to nonparticipating contracts * * * which are issued or renewed for periods of 5 years or more. * * * [Emphasis supplied.]
In preparing its income tax returns for the several years during the 1961-66 period, the plaintiff claimed deductions based on 3 percent of the premiums attributable to its nonparticipating insurance contracts, including its guaranteed renewable health and accident contracts. However, upon auditing the plaintiff’s returns, the Internal Eevenue Service determined that the plaintiff was entitled to a deduction with respect to its guaranteed renewable policies only on the basis of 10 percent of the increase in reserves and could not properly utilize 3 percent of premiums for this purpose. The IES thereupon assessed against the plaintiff the deficiencies and interest which provided the basis for the present litigation. The Government has admitted that if the policies are noncancellable (i.e., the premiums cannot be changed, even by class) and have five years or more to run to age 60, or a higher specified age, they are entitled to the 3 percent of premiums deduction. Eev. Eul. 65-237, 1965-2 cum bull. 231.
In view of the Government’s foregoing admission regarding noncancellable policies and since section 801(e) provides as follows:
Sec. 801. Definition of life insurance company. 5*S t'fi ijí
(e) Guaranteed renewable contracts.
For purposes of this part, guaranteed renewable life, health, and accident insurance shall be treated in the*36 same manner as noncancellable life, health, and accident insurance.
it would seem that there should not be any serious question that guaranteed renewable insurance policies should also be entitled to the 3 percent of premiums deduction. In spite of the compelling language of section 801(e), the Government maintains that since the guaranteed renewable policies were not issued “for periods of 5 years or more,” as the Government interprets the phrase, they may not be treated in the same maimer as noncancellable policies for purposes of the 3 percent of premiums deduction. We must resolve this question by an analysis of the precise language of section 809(d) (5) and the regulations thereunder, a review of the types of policies involved, an investigation of the legislative history in granting the alternative 3 percent of premiums deduction, and, finally, an examination of the effect of section 801(e) which we have set out above. The Government’s position is that if an insurer can change the premium rates during a five-year period, even if those rates can only be changed by class, then such a contract cannot be considered as issued or renewed for five years or more. The Government seizes upon certain language of the Senate Finance Committee Eeport, s. ret. no. 291, 86th Cong., 1st sess., p. 55 (1959-2 cum. bull., p. 810), which was adopted by the following Treasury Regulation, as authority for its position:
*36 * * * The determination of whether a contract meets the 5-year requirement shall be made as of the date the contract is issued, or as of the date it is renewed, whichever is applicable. Thus, a 20-year nonparticipating endowment policy shall qualify for the deduction under section 809(d) (5), even though the insured subsequently dies at the end of the second year, since the policy is issued for a period of 5 years or more. However, a 1-year renewable term eontraet shall not qualify, since as of the date it is issued (or of any renewal date) it is not issued (or renewed) for a period of 5 years or more. In like manner, a policy originally issued for a 3-year period and subsequently renewed for an additional 3-year period shall not qualify. However, if this policy is renewed for a period of 5 years or more, the policy shall qualify for the deduction under section 809(d) (5) from the date it is renewed. Treas. Eeg. § 1.809-5 (a) (5) (iv) (1969) [Emphasis supplied].
In the trial of this case, an expert witness testified on the issue of what was meant by the words “1-year renewable term.” We think that his uncontradicted testimony is very material. John II. Miller, an actuary with 32 years of experience in the insurance field, having done much work in the health and accident area, and a member of the Society of Actuaries, the Casualty Actuarial Society, and the American Academy of Actuaries, was the only expert witness called. The plaintiff put him on, his qualifications were not challenged, and defendant did not produce any witness to rebut his testimony. Mr. Miller testified that on the basis of his knowledge of the industry the phrase “1-year renewable term” contract is used only with reference to life insurance, but for the purpose of the issue herein, the rules are the same. Mr. Miller then explained two varieties of one-year renewable term life insurance contracts of which he was aware. In one form (form A for discussion herein) the company guarantees that it will continue the coverage in force upon timely payment of premiums, and the precise amount of premiums for each age is specified in the policy; in the other form
It is proper, then, to ask what was intended by the insertion of the “issued or renewed for * * * 5 years or more” requirement in section 809(d)(5) and what was intended to be covered by the phrase “1-year -renewable term,” as used in the Senate Report. As we have noted -above, there is no explanation in the Senate Report as to the meaning of the latter phrase. There are such -a variety of “1-year renewable term” policies, certain of which resemble non-oancellable policies, that the only reasonable definition is one which looks to duration of risk.
We deem it of crucial significance that the Government, in its own Revenue Ruling, has indicated that a proscribed aspect of the one-year renewable term policies is the ability of the insurer to cancel:
A “1-year renewable term contract” is ordinarily a contract which does not guarantee the rate of premium to be charged each year [this language of the Government does not disqualify form A “1-year renewable term” contracts, only the form B type], or a contract which requires some sort of annual application by the insured for renewal {which is subject to rejection by the insurer), so that, in effect, a new contract is entered into upon each renewal.
The noncancellable health and accident contracts issued by X [the insurer] continue in force automatically*40 to age 60 or over so long as the renewal premium set forth in the policy is paid when due. At age 60 (or later age stipulated for termination) these policies revert to yearly renewable term contracts where consent of X is necessary to heep the policy in force. Kev. Kul. 65-237,1965-2 cum. bull., p. 232. [Emphasis supplied.]
It is clear that the reference in the Senate Beport to a “1-year renewable term contract” as one which does not qualify for the 3 percent deduction was not intended to preclude the allowance of the 3 percent deduction for guaranteed renewable contracts. Under the provisions of the latter policies, one term of which is a stated level premium, the insured may unilaterally renew each year and thereby, on his own volition, keep the insurance in force for a period of five years or more. In addition, there are substantial restrictions on the raising of rates.
The Government next argues, as a theoretical foundation for its position, that the legislative history of the Life Insurance Company Income Tax Act of 19'59 reveals that the reason for the 3 percent deduction was to provide a “cushion” for inflated costs or increased morbidity. Thus, since the rates of the policies in issue can conceivably be raised by class, the reason for granting the normally more favorable 3 percent deduction disappears. We cannot agree with either the Government’s reading of the legislative 'history or, for that matter, its reading of its own regulations.
The legislative history makes clear that Congress enacted section 809(d) (5) to eliminate what otherwise would be an inequality of tax treatment between stock and mutual insurance companies. In the case of mutual insurance companies, premiums are higher and include an amount normally returned to policyholders as dividends. Amounts of premiums normally returned to policyholders give a mutual insurance company an additional “cushion” with which to meet unexpectedly heavy claims or other contingencies. Stock insurance companies do not have this cushion available and hence must maintain relatively larger surplus and capital accounts. Therefore, to enable stock insurance companies to build up and maintain adequate surplus, a special deduction is allowed with respect to nonparticipating policies. The Senate Fi
Policyholder dividends in part reflect the fact that mutual insurance is usually written on a higher initial premium basis than nonparticipating insurance, and thus the premiums returned as policyholder dividends, in part, can be viewed as a return of redundant premium charges. However, such amounts provide a “cushion” for mutual insurance companies which can be used to meet various contingencies. To have funds equivalent to a mutual company’s redundant premiums, stock companies must maintain relatively larger surplus and capital accounts, and in their case the surplus generally must be provided out of taxable income. To compensate for this, the House bill allows a deduction for nonparticipating insurance equal to 10 percent of the increase in life insurance reserves attributable to nonparticipating life insurance (not including annuities). Your committee has recognized the validity of the reasons for providing such a deduction and has therefore continued it in your committee’s version of the bill. However, basing this addition, as does the House bill, only upon additions to life insurance reserves does not take account of the mortality risk factor present in policies involving only small reserves. To overcome this deficiency, your committee’s amendments provide that a special 3 percent deduction based on premiums is to apply, instead of the 10 percent deduction, where it results in a larger deduction. This is a deduction equal to 3 percent of the premiums for the current year attributable to nonparticipating policies (other than group or annuity contracts) issued or renewed for a period of 5 years or more. Senate Comm, on Finance, Life Insurance Company Income Tax Act of 1959, s. kef. no. 291, 86th Cong., 1st sess. 22 (1959) (reprinted at 1959-2 cum. bull. 770, 786).
The Senate Finance Committee Keport went on to describe the five-year requirement, and this description was adopted by Treas. Keg. § 1.809-5(a) (5) (iv), sufra.
While it is true that the legislative purpose involved allowing a “cushion” when the insurer undertook a long-term risk, there is nothing in the above-quoted legislative history to indicate that the scope of the phrase “1-year renewable term” was thought to encompass guaranteed renewable policies merely because there was not a fixed premium also guaranteed by the latter policy. The Keport ¡merely states that
The guaranteed renewable policies in issue clearly involve long-term risks. They are issued for life and the insurer is required to keep the policy in force, save for the failure to pay premiums. Both noncancellable insurance (under which the premium cannot be changed and which the Government concedes is subject to the 8 percent deduction) and guaranteed renewable insurance do require the creation of reserves from premiums to cover the higher risks of later years.
Guaranteed renewable policies prescribe a level premium and there are substantial limitations on the ability of the insurer to increase these rates. Any change in the premiums of the guaranteed renewable policies is prospective and cannot be accomplished without some difficulty. In at least 27 states, guaranteed renewable policies must be renewed without a rate increase unless a proposed increase is approved by the state insurance authorities. This process, which we find to be difficult in some states and time consuming in most of the others, was required with respect to 80 percent of the guaranteed renewable policies which plaintiff had in force. In other states, business, economic, and other pressures, especially competition, may substantially restrain any rate change.
Indeed, the Government has recognized, albeit in another context, that there is a virtual identity between the non-cancellable and the guaranteed renewable policies:
Generally, the reserve in addition to the unearned premiums is necessary in the area of noncancellable health and accident policies because the policy is renewable at the sole option of the insured. If, in such a situation, the premium called for by the policy is at a level rate, it would have to be greater in the early years of the policy than the pure cost of insurance so that the excess may be accumulated, with interest, to offset the increase in mortality risks as the insureds get older. United Benefit Life Insurance Co. v. McCrory, 242 F.*43 ■Supp. 845, at 849 (1965). Because hospital and medical expense benefit policies, renewable solely at the option of the insureds, involve not only increasing mortality risks as the insureds get older but also the uncertainty of the costs of medical care, the premiums for such policies do not necessarily remain level but may be increased at renewal. However, such increase in premium cannot be made with respect to an individual insured but only with respect to the class of which he is a part. This affords a certain stability to the -premium that, together -with the security of the coverage, necessitates a reserve in addition to the unearned premiums similar to that required -u/nder the noncancellable level premium contracts. For this reason guaranteed renewable health and accident policies, not cancellable by the insurance company and with respect to which a reserve in addition to the unearned premiums must be carried, is treated in the same manner as a noncancellable health and accident policy. See section 1.801-3 (d) of the regulations. Key. Kul. 71-367, 1971-2 cum. bull., p. 259. [Emphasis supplied.]
The case of Commissioner v. Pacific Mutual Life Ins. Co., 413 F. 2d 55 (9th Cir. 1969), rev’g 48 T.C. 118 (1967), three judges dissenting, was decided favorably to the Government on this very issue. The Tax Court had held for the plaintiff, stressing, as we do, both the guaranteed renewability of the contracts as well as the very qualified nature of the right to change rates, and then only by class. The Tax Court made the following observation:
While we do not question the fact that petitioner retained the right to alter renewal premiums on the contracts in question, we note, 'as set forth in our findings, supra, that those contracts imposed substantial limitations on such premium cha/nges. In addition and of greater significance in distinguishing petitioner's guaranteed renewable contracts from the 1-year renewable term contracts referred to in the above-quoted Senate committee report, is the fact that, -under the former contracts, petitioner guaranteed the renewed of the policies and all their, provisions for a period of 5 years or more. Thus, the only way the term of petitioner’s guaranteed renewable contracts could have been shortened to less than 5 years was for an insured to either voluntarily cancel his policy or fail to make timely*44 premium payments thereon. Since these possibilities are within the exclusive control of the insured and exist not only with regard to petitioner’s guaranteed renewable contracts but with virtually all insurance contracts “issued or renewed for a period of 5 years or more,” we think the insurance contracts in question satisfy the statutory definition of section 809(d)(5) in that they are, in essence, “issued * * * for periods of 5 years or more.” * * * 48 T.C. 118,143-144. [Emphasis supplied.]
The plaintiff’s position is further supported by a structural analysis of the Life Insurance Act of 1959 as a whole. Specifically the language of section 801(e) is clear authority for the plaintiff’s view that guaranteed renewable policies are, along with noncancellable policies, entitled to the 3 percent of premiums alternative deduction. Section 801(e) reads as follows:
GUARANTEED RENEWABLE CONTRACTS.— For purposes of this part, guaranteed renewable life, health, and accident insurance shall be treated in the same manner as noncancellable life, health, and accident insurance.
It must initially be noted that section 801(e) is made applicable to all the provisions of Part I of Subchapter L of the Code. Part I consists of sections 801 through 820 and is entitled “Life Insurance Companies.” Part I, by definition, includes section 809(d)(5). Statutory drafters very frequently are called upon to expand or contract definitional sections; and the calibration, in the context of these sections relating to life insurance companies, is very keen. We cull the following examples to illustrate this calibration:
1. The definition of a life insurance company in section 801(a) is to apply “[f]or purposes of this subtitle,” i.e., Code sections 1 through 1564.
2. Numerous sections and subsections in Part I of Sub-chapter L are introduced with the phrase “for purposes of this part.” See, for example, the definition of “investment yield” under section 804(c). See also section 804(b) defining “gross investment income,” and section 806(a) relating to certain changes in life insurance reserves.
4. The term “distribution” is defined in section 815(f) solely “[f]or purposes of this section * *
5i. Section 801(c) defines the term “total reserves” “[f]or purposes of subsection (a) * * *.”
6. Section 804(a) (1) refers to a rule solely “[f]or purposes of the preceding sentence * * *.”
The legislative drafters of Subpart L also used the technique of specifying exceptions to the broad sweep of expansive language. This is demonstrated by section 818 (c) which, in general, allows a life insurance company to elect to recompute its reserves for certain purposes. Section 818(c) specifically provides that it is to apply “[f]or purposes of this part (other than section 801) * * *.” Congress obviously drafted this provision in this way because Congress intended that a company’s life insurance reserves would be taken into account for purposes of section 801 without regard to a section 818 (e) election.
In the context of the income taxation of underwriting profits of life insurance companies, it should be kept in mind that we are dealing with relatively recent legislation, the Life Insurance Company Income Tax Act of 1959, P.L. 86-69, 73 Stat. 112, ‘Section 2. We are not dealing with those 'areas of the Code in which legislation by one Congress is layered upon legislation of another Congress. Eather, our 'attention is directed to two sections, 801(e) and 809(d) (5), which came into the Code at precisely the same time. If, as the Government contends, it was really the purpose of Congress to deny the favorable treatment to guaranteed renewable policies which was granted to noncancellable policies issued for five years or more, it would have been most logical for Congress to exclude section 809 (d)(5) from the scope of section 801 (e). This could easily have been accomplished by inserting the words “except for section 809(d) (5)” immediately after the word “part” in section 801 (e). To leave the broad scope of section 801 (e) while at the same time evolving the pattern of specificity which we have outlined, supra, leads us to the
The Government, however, argues that sections 801(e) and 809(d) (5) are not harmonious and urges that we adopt the following solution:
* * * Congress impliedly adopted as part of Sec. 801 (e) the requirement contained in the alternative deduction provision of Sec. 809(d) (5) that the contracts mentioned in Sec. 801(e) be issued or renewed for periods of five years or more. * * * Commissioner v. Pacific Mutual Ins. Co., 413 F. 2d 55, 60 (9th Cir. 1969), rev’g 48 T.C. 118 (1967).
We disagree with the Government on this point. There is no real indication that section 801(e) was merely meant to insure that reserves for guaranteed renewable policies would be treated in the same manner as reserves for noncancellable policies, i.e., as life insurance reserves.
(d) Guaranteed renewable life, health, and accident insurance policy. The term “guaranteed renewable life, health, and accident insurance policy” means a health and accident contract, or a health and accident contract combined with a life insurance or annunity contract, which is not cancellable by the company but under which the company reserves the right to adjust premium rates by classes in accordance with its experience under the type of policy involved, and with respect to which a reserve in addition to the unearned premiums (as defined in paragraph (e) of this section) must be carried to cover that obligation. Section 801 (e) provides that such policies shall be treated in the same manner as non-cancellable life, health, and accident insurance policies. For example, the age termination date requirements applicable to noncancellable health and accident insurance policies shall also apply to guaranteed renewable life, health, and accident insurance policies. * * *
No inconsistency between section 801(e) and section 809 (d) (5) will arise unless the Government’s inferences with respect to what Congress meant by “issued * * * for 5 year’s or more” are adopted. Since we have chosen to view Congressional intent with respect to this phrase in terms of duration of risk, there is no necessity to adopt the Government’s strained reading of section 801 (e). The alternative 3 percent of premiums deduction was granted because the 10 percent of reserve increase deduction was not deemed to provide a sufficient “cushion.” To receive this potential benefit, Congress required that only life, health, and accident policies involving a relatively long-term undertaking could qualify. It is clear, for instance, that if the plaintiff were to offer either noncancellable or guaranteed renewable policies issued for periods of less than five years, neither would qualify for the 3 percent deduction. We do not decide whether Congress has made a wise decision; nor do we decide whether Congress has been too munificent in qualifying guaranteed renewable policies issued for five years or more for the 3 percent of
We have used material from the opinion of Trial Commissioner Mastín G. White, though we reach a contrary result.
The amount of the claim, the amount allowed, and the amount disallowed, by years, are as follows :
Year ended December 31 amount Allowed Disallowed
1961-$11,963 $314.08 $11,638.92
1962-43,316 649.64 42,765.36
1963-26,084 911.56 25,172.44
1964-44,271 1,483.00 42,788.00
1965-38,277 97.86 38,179.14
1966-49,388 104.03 49,283.97
Total. . $213,288 $3,460.17 $209,827.83
See United States v. Atlas Ins. Co., 381 U.S. 233 (1965), for a discussion, of the 1959 Act.
While the Government has not, in so many words, conceded that the form A “1-year renewable term" policy qualifies for the 3 percent of premiums deduction, the following language of its brief suggests that such a policy-meets all the criteria under its test:
“A nonparticipating, noncancellable policy, including that form of yearly renewable term policy which guarantees the premium rate at specified ages or intervals, creates a greater loss potential to the insurer than a nonparticipating, guaranteed renewable policy. * * * The reason for this is that the guaranteed renewable policy permits the insurer to Increase its rates by class, whereas noncancellable policies provide for a guaranteed premium.” [Emphasis supplied. J
We note that at oral argument before this court, there was confusion on the part of both parties as to what a “1-year renewable term policy” was, in addition to the greater question of whether a guaranteed renewable policy is sufficiently “akin” to it to require similar treatment. This is undoubtedly due to the variety of policies, having a wide range of terms, which could be categorized under the general phrase “1-year renewable.”
We say “primary” because policies are written in a great variety of forms; and we do not intend that the successful passing of this test will automatically guarantee qualification for the 3 percent of premiums deduction. Guaranteed renewables, as will be shown infra, have other characteristics which confirm our conclusion that they were meant to be treated as “noncancellable” policies, and thereby to qualify.
“Noncancellable Disability Insurance, as Related to tbe Federal Taxation of Life Insurance Companies,” a memorandum prepared by the Massachusetts Indemnity Insurance Co., Hearings Before a Subcommittee of the House Ways and Means Committee, “Taxation of Life Insurance Companies,” 83rd Cong., 2d Sess., 403-404 (1954). Thus, for example, a typical cancellable accident and health Insurance policy issued by the Lincoln National Life Insurance Company between 1951 and 1962 provides as follows:
PRIVILEGE OF RENEWAL
“unless the Company shall have delivered to the Insured or shall have mailed to his last address as shown by the records of the Company written notice of its decision not to renew the policy at least fifteen days prior to the expiration of the then current period for which the premium has been paid, this policy may be renewed for a further term equal to the Amount of Premium. This privilege of renewal shall cease upon payment of the premium for the Premium Period which will expire next preceding the insured’s 65th birthday.”
It should be noted that during all the years In Issue, plaintiff did not Increase the premiums on Its guaranteed renewable policies.
It Is a cardinal rule of statutory construction that “* * * [t]o the extent possible, violence should not ordinarily be done to the words chosen by the Congress. * * *” Crawford v. United States, 179 Ct. Cl. 128, 138, 376 F. 2d 266, 272 (1967), cert. denied, 389 U.S. 1041 (1968). See also Flora v. United States, 357 U.S. 63, 65 (1958), ail’d, on rehearing, 362 U.S. 145 (1960).
The House Report language, upon which the Government bases its view, reads, In pertinent part:
“5. Guaranteed renewable contracts. — The bill provides that guaranteed renewable life, health, and accident Insurance will be treated In the same manner as noncancelable life, health, and accident Insurance. Reserves with respect to such insurance wlU, therefore, be treated In the same manner as life insurance reserves for purposes of computing taxable investment income and gains from operations. * * * By including such contracts specifically within life insurance reserves for the future, your committee intends no inferences to be drawn as to their tax treatment under prior law. H. rup. no. 34, 86th Cong.. 1st SESS., p. 18 (1959-2 cum. bull., p. 748).”
It is a cardinal principle of statutory construction that a statute clear on its face must be interpreted as it is written. The united States Supreme Court in Unexcelled Chemical Corp. v. United States, 345 U.S. 59. 64 (1953), stated the rule as follows :
“* * * Arguments of policy are relevant when for example a statute has an hiatus that must be filled or there are ambiguities in the legislative language that must be resolved. But when Congress, though perhaps mistakenly or inadvertently, has used language which plainly brings a subject matter into a statute, its word is final — save for questions of constitutional power which have not even been intimated here.”
Dissenting Opinion
dissenting:
In this very close case, I would follow the Ninth Circuit (Commissioner v. Pacific Mutual Life Ins. Co., 413 F. 2d 55 (C.A. 9, 1969)), the dissenting judges in the Tax Court (Pacific Mutual Life Inc. Co., 48 T.C. 118, 144-45 (1967)), Trial Commissioner White, and the Internal Revenue Service’s ruling.
In my view there “are ambiguities in the legislative language that must be resolved”, and accordingly we should consider “arguments of policy” revealed in the search for the dominant Congressional purpose. See Unexcelled Chemical Corp. v. United States, 345 U.S. 59, 64 (1953). Neither section 809(d)(5) nor section 801(e) is absolutely clear by itself, and in combination they present substantial textual difficulties. We must look to the legislative history to construe and harmonize the provisions. I read that source, not as concentrating on the five-year period, but as attempting to help only those companies which cannot change their rates to build up additional surplus to protect against unexpected bad experience. As the dissenters in the Tax Court put it (48 T.C. at 144-45) : “Although the legislative history fails to explain the reason for the requirement that the policy be issued for 5 years, it seems clear that the accumulation of increased surplus was necessary only when the insurance com
From this standpoint, section 801 (e) does not have to be construed as mandating inclusion of taxpayer’s contracts under section 809(d) (5) even though they fail to meet the dominant purpose Congress had in mind. The language of section 801 (e) is not so demanding. For one thing, we do not really know what Congress meant by “guaranteed renewable life, health, and accident insurance”, or whether plaintiff’s insurance agreements fall within the category Congress wanted to cover. And even if they are included, this would not be the first definitional section found to contain an implied exception to words which may appear all-embracing. On balance, I agree with the Ninth Circuit (413 F. 2d at 60) and Commissioner White that, to avoid conflict between the specific purpose of section 809(d) (5) and the general words of section 801(e), the latter should not be understood as a wooden directive compelling treatment of these renewable policies “in the same manner” as noncancellable agreements
Another factor influencing me is that this seems the type of narrow and close tax issue which, can properly be left to resolution by Congress (in the previous Congress, one house did pass an alleviating measure), and particularly in that light I see insufficient basis for disagreeing with the court of appeals which has already spoken.
Findings on Fact
The court, having considered the evidence adduced, the stipulations of the parties, and the hriefs and arguments of counsel, makes findings of fact as follows:
1. The plaintiff is a life insurance company, with its principal place of business at 1900 North Akard Street, Dallas, Texas.
. 2. (a) The plaintiff filed timely income tax returns for the years in question with the District Director of Internal Revenue, Dallas, Texas.
(b) On or about June 1, 1967, the plaintiff paid the defendant, through the District Director of Internal Revenue, Dallas, Texas, deficiencies asserted by the Internal Revenue Service for the years 1961 through 1964 in the aggregate amount of $123,622.27, plus interest on such amount, aggregating $25,234.07.
(c) On or about August 27,1968, the plaintiff paid the defendant, through the District Director of Internal Revenue, Dallas, Texas, deficiencies asserted by the Internal Revenue Service for the years 1965 and 1966 in the aggregate amount of $80,985.17, plus interest on such amount, aggregating $8,966.31.
(d) The deficiencies referred to in paragraphs (b) and (c) of this finding were based, at least principally, upon determinations by the Internal Revenue Service that guaranteed renewable accident and health insurance contracts issued by the plaintiff were not includable in computing the deduction provided for in Section 809(d) (5) of the 1954 Code based upon “nonparticipating contracts * * * which are issued or renewed for periods of 5 years or more.”
(b) Upon examination, the Internal Eevenue Service allowed the plaintiff’s claims in the aggregate amount of $3,460.17.
(c) The amount of the claim, the amount allowed, and the amount disallowed, by years, are as follows:
Year ended December 31 Claim amount Allowed Disallowed
1951. $11,953 $314.08 $11,638.92
1962. 43,315 549.64 42,765.36
1963. 26,084 911.56 25,172.44
1964. 44,271 1,483.00 42,788.00
1965. 38,277 97.86 38,179.14
1966. 49,388 104.03 49,283.07
Total. 213,288 3,460.17 209,827.83
4. On or about August 5,1969, the plaintiff filed a Form 2297, Waiver of Statutory Eegistered Mail Notification of Claim Disallowance, with the District Director of Internal Eevenue, Dallas, Texas. This action is brought within the time provided in Section 7532 of the Internal Eevenue Code of 1954.
5. (a) The plaintiff is a life insurance company organized under the laws of the State of Texas on June 23,1947. It is qualified and licensed to do business in 49 States, in Puerto Eico, in the District of Columbia, and in Canada.
(b) At December 31, 1968, the plaintiff 'had $89,757,855 of insurance in force.
(c) For the year 1968, the plaintiff collected gross premiums of $9,074,411.92.
6. (a) The plaintiff issues nonparticipating contracts of health and accident insurance which are guaranteed renewable for the life of the insured. The plaintiff reserves the right under such contracts to adjust premium rates by class. During the years in issue and prior thereto, the plaintiff never, in fact, exercised its right under any guaranteed renewable policy to increase the premium rates.
(b) Under the plaintiff’s guaranteed renewable health and accident policies, the plaintiff has no right to cancel the policy except for the nonpayment of premiums. So long as the in
7» (a) A guaranteed renewable policy is a health and accident insurance contract, or a health and accident insurance contract combined with a life insurance or annuity contract, which is not cancellable by the company but under which the company reserves the right to adjust premium rates by classes in accordance with its experience under the type of policy involved, and with respect to which a reserve, in addition to an unearned premium reserve, must be carried to cover the obligation.
(b) The terms of a guaranteed renewable policy cannot be modified by the insurer except to adjust premium rates by class.
(c) A class of insureds may be defined as insureds having the same policy form, being of the same age, sex, and occupational risk classification, and sometimes also being located in a particular territorial region.
(d) An increase in premium rates on a guaranteed renewable policy, even though permitted in the policy, would require the approval of a number of State Insurance Commissioners. Approximately 27 States require such approval. The States of Georgia, Hawaii, Louisiana, Missouri, South Carolina, and Texas have no specific requirements with respect to change in rates. The approximate percentage of guaranteed renewable business done in these States by the plaintiff is as follows:
State: Percent
Georgia- 5
Hawaii_^_ 0
Louisiana_ 4
Missouri_ 4
South Carolina_ 2
Texas_ 8
8. Reserves, in addition to unearned premium reserves, are required to be maintained by the plaintiff with respect to its guaranteed renewable policies. These reserves are computed on the same basis as that used to compute reserves for non-cancellable policies. The reserves maintained by the plaintiff on its guaranteed renewable policies qualify as life insurance reserves under Section 801 (e) of the Code.
(b) A noncancellable policy can be defined as a guaranteed renewable policy which does not permit the insurer to adjust the premium rates. Once the policy is issued, the insured receives a guaranteed premium rate for the entire life of the policy.
10. A yearly renewable term policy can be defined as one in which the premium differs for each year, or a stated interval of years, according to the age of the insured (generally increasing as the insured’s age increases), as contrasted with the guaranteed renewable policy, which has an originally stated level premium. The yearly renewable term policy has at least two basic and distinct forms in the life insurance field:
(a) The annual premium for a particular insured can be guaranteed at the inception of the policy at the graduated rates stipulated and guaranteed in the policy. This form guarantees renewal.
(b) The annual premium for a particular insured can vary from time to time depending upon the rate in effect at the renewal date for the particular age group. This form guarantees renewal at whatever the new rate wall be.
11. In the accident and health insurance field, still another variety of “1-year renewable term” policy is found. In this form the annual premium for a particular insured' may vary or be stated in the policy, but the insurer has the right, in either event, upon proper notice to cancel or refuse to renew the policy at its annual renewal date.
12. A level premium is one that remains constant during the entire premium-paying period of the policy. Although the guaranteed renewable policy initially provides for a level premium, such premium can be adjusted 'by the issuing company by class of insureds, either with or without the approval of the State Insurance Commissioner, depending upon the
IB. (a) Guaranteed renewable policies and noneancellable policies all involve long-term risks to the insuring company because, for each of these policies, the company has surrendered the right to terminate the policy or modify its terms (except for the premiums in the case of a guaranteed renewable policy). With respect to all these policies, so long as the insured pays the premium, the insurer must keep the policy in force.
(b) The common characteristics of guaranteed renewable policies and noneancellable policies are the guarantee of re-newability, the guarantee that there will be no change in the insuring conditions or terms (other than the premium, in the case of a guaranteed renewable policy), and the guarantee that there will be no reclassification of the insured by virtue of change in occupation, deterioration in health, or any other reason. Also, the underlying formula for the computation of reserves is identical with respect to the two types of policies. Both types of policies cover risks of disability, death, hospital and medical expense, and accidental death or dismemberment.
14. Approximately one-fifth of the plaintiff’s guaranteed renewable business during the pertinent period was done in States where no Insurance Department approval was required for a change in rates by class. In those States, the only restraints on rate changes were competition and company policy.
15. In the States where Insurance ¡Department ¡approval is necessary before rate changes are effective, the loss experience of the company requesting the change must be supplied. ■If justified, experience indicates that the rate change will be granted, ¡but the process is difficult in some States and time-consuming in most of the others.
16. Under Section 809(d)(5) of the ¡Code, the plaintiff claimed deductions based on B percent of premiums attributable to its nonparticipating contracts, including its guaran
Tear: Amount
1961 $54,177.23
1962 85,172.74
1963 127,084.84
1964 189,431.86
1965 236,336.38
1966 240,097.16
17. The Internal Bevenue 'Service determined that the plaintiff was entitled to a deduction with respect to its nonparticipating guaranteed renewable policies only on the basis of 10 percent of the reserve increases, rather than on the basis of 3 percent of premiums.
18. The difference between the amount ¡now claimed by the plaintiff, based on 3 percent of premiums, and the smaller amount allowed by the Internal Eevenue Service, based on 10 percent of reserve increases, is as follows:
Tear: Difference
1961 $13,992
1962 49,176
1963 46,970
1964 106,774
1965 137,585
1966 186,918
19. 'For the year 1961, the plaintiff filed its return on the basis of deducting 10 percent of its reserve increase attributable to its nonparticipating contracts. As a result of subsequent adjustments in reserves for the year 1961, the plaintiff now claims its deduction under Section 809(d)(5) on the basis of 3 percent of premiums.
20. Persistency studies demonstrate that the average renewal period for guaranteed renewable health and accident insurance policies is at least 7 years.
Conclusion or Law
Upon the foregoing findings of fact and opinion, which are adopted by the court and made a part of the judgment herein, the court concludes as a matter of law that the plaintiff is entitled to recover, and judgment is entered to that effect. The