Ax v. Comm'r
This text of 146 T.C. No. 10 (Ax v. Comm'r) is published on Counsel Stack Legal Research, covering United States Tax Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
Opinion
An appropriate order will be issued.
P-H's LLC faced various risks. P-H formed SMS as a "captive insurance company", and in 2009 and 2010 LLC paid SMS premiums for coverage of the risks by SMS. LLC deducted the premiums, and the deductions were passed through to Ps' tax returns. After audit, the IRS disallowed the deductions and stated in the notice of deficiency (NOD): "You did not establish that the amount shown was (a) insurance expense, and (b) paid". Ps filed a petition in the Tax Court disputing the NOD, and R filed an answer that did not make any affirmative allegations as to the disallowed insurance expense deductions. After the case was stricken from a trial calendar and continued generally, R moved for leave to amend his answer to assert "that a) Petitioners' use, through solely controlled flow-through entities, of a micro-captive insurance arrangement in 2009 and 2010 lacked economic substance; and b) Amounts paid as premiums through the micro-captive arrangement were neither ordinary nor necessary" and to allege facts in support of those assertions. Ps oppose the motion for leave, citing
*154 GUSTAFSON,
For purposes of respondent's motion for leave, we take the background of this case to be as alleged by petitioners, as follows: Peter owns Phoenix Capital Management, LLC ("Phoenix") which bought KwikMed in 2001. Since that time, KwikMed has devoted substantial resources to developing a comprehensive online access tool to sell a limited class of legend drugs over the internet.
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An appropriate order will be issued.
P-H's LLC faced various risks. P-H formed SMS as a "captive insurance company", and in 2009 and 2010 LLC paid SMS premiums for coverage of the risks by SMS. LLC deducted the premiums, and the deductions were passed through to Ps' tax returns. After audit, the IRS disallowed the deductions and stated in the notice of deficiency (NOD): "You did not establish that the amount shown was (a) insurance expense, and (b) paid". Ps filed a petition in the Tax Court disputing the NOD, and R filed an answer that did not make any affirmative allegations as to the disallowed insurance expense deductions. After the case was stricken from a trial calendar and continued generally, R moved for leave to amend his answer to assert "that a) Petitioners' use, through solely controlled flow-through entities, of a micro-captive insurance arrangement in 2009 and 2010 lacked economic substance; and b) Amounts paid as premiums through the micro-captive arrangement were neither ordinary nor necessary" and to allege facts in support of those assertions. Ps oppose the motion for leave, citing
*154 GUSTAFSON,
For purposes of respondent's motion for leave, we take the background of this case to be as alleged by petitioners, as follows: Peter owns Phoenix Capital Management, LLC ("Phoenix") which bought KwikMed in 2001. Since that time, KwikMed has devoted substantial resources to developing a comprehensive online access tool to sell a limited class of legend drugs over the internet. Given the economic threat its innovative business model poses to the deeply-entrenched brick-and-mortar drug store industry, Peter and his company face the constant threat of litigation and administrative actions in various states. Unable to procure commercial coverage for much of that risk, Peter formed SMS Insurance Company,*13 Ltd. ("SMS") to provide some of the needed coverage under During 2009 and 2010, Phoenix obtained insurance from SMS across a broad range of risks including administrative action, computer operations and data, reputational damage, business income/expense, and commercial terrorism insurance policies covering Phoenix' internet business. For that coverage, Phoenix paid $1,200,000 in insurance premiums in 2009 and $1,128,340 for 2010. Phoenix deducted those premiums and passed the tax consequences through to the joint individual income tax returns which Peter and Beverly filed. The IRS audited those returns and issued a notice of deficiency, disallowing these deductions * * *.
The IRS issued its notice of deficiency ("NOD") on September 9, 2014. The notice explained the disallowance of Phoenix's insurance deductions by stating: We adjusted your return in accordance with the examination results of the S corporation return ([Phoenix's] Form 1120S) of which you are a shareholder. See the attached Forms 4505-A [sic] for Medit Marketing Inc. and Phoenix Capital Management, LLC. Since you did not establish that the amount shown was (a) insurance expense, and (b) paid, the amount is not deductible. Since you did not establish that a part of the insurance expense claimed on your tax return was ordinary and necessary to your business, we have disallowed the aggregate amount shown. Further it is determined that the amounts disallowed were not paid to an insurance company and that they were not paid for insurance.
On December 8, 2014, petitioners timely filed their petition in this Court. Echoing the above-quoted*15 language in the Form 886A attached to the NOD, the petition alleges (in paragraph 4(h) and (i)) that, in issuing the NOD, the Commissioner erred as to each of the two years in issue by disallowing the Phoenix insurance expense deductions and "[b]y asserting that the * * * [amount] paid * * * for insurance was not somehow an insurance expense and not paid and therefore not deductible". The petition alleges in paragraph 4(n) that the IRS erred with regard to the disallowance as to Medit for 2010.
The Commissioner filed his answer on January 29, 2015. The answer generally denied the allegations in the petition, but it did not make any affirmative allegations as to the disallowed insurance expense deductions. Petitioners' counsel provided respondent's counsel with substantial information about the case in May and July 2015.
On September 4, 2015, the Commissioner filed a motion for leave to file an amendment to his answer. Specifically, the Commissioner moves-- pursuant to * * * * 8. Respondent acknowledges that he will bear the burden of proof with respect to the micro-captive arrangement's lack of economic substance. 9. Disallowing the insurance related deductions because such expenses were neither ordinary nor necessary, however, is implicit in the notice of deficiency; respondent, however, makes the related affirmative allegations out of an abundance of caution. Accordingly, respondent does not bear the burden of proving that such expenses were ordinary and necessary. 10. Respondent continues to maintain that the micro-captive insurance arrangement does not constitute insurance for federal income tax purposes, see a) Petitioners' use, through solely controlled flow-through entities, of a micro-captive*17 insurance arrangement in 2009 and 2010 lacked economic substance; and b) Amounts paid as premiums through the micro-captive arrangement were neither ordinary nor necessary.
Petitioners oppose the Commissioner's*18 motion for leave, and they summarize their contentions as follows: Petitioners object to the granting of leave essentially on three grounds. First, the Administrative Procedure Act ["APA"] bars an agency's attempt to bolster a final agency action on a post hoc basis. Second, Respondent's Reply effectively admits he has no cause for the delay in leveling the vague factual allegations which perpetuate the prejudice by failing to provide meaningful notice. Third, both the "economic substance" and "ordinary and necessary" grounds would constitute "new matters" under
Petitioners summarize their administrative law contention by stating: Since the Supreme Court [in
If an order is valid only as a determination of policy or judgment That is, where Congress has committed an action solely to agency discretion,4*21 a reviewing court can only review the decision that the agency made; a court cannot perform a pseudo-review of a hypothetical decision that was not made by the agency but that the court might have made if it were the agency.
The IRS is authorized to "determine[]" a deficiency in a taxpayer's income tax and to send the taxpayer notice of that deficiency.
Moreover, the scope of a deficiency case may be expanded (beyond the notice of deficiency) in the IRS's favor, pursuant to [T]he Tax Court shall have jurisdiction to (1) Jurisdiction to
Also at odds with petitioners' attempted application of Chenery I to Tax Court review of an NOD is
Furthermore,
The Administrative Procedure Act created norms for judicial review of agency action. The APA separately imposes upon the reviewing court, in mandatory terms, the obligation "to hold unlawful and set aside any agency action, finding[s], and conclusion[s] found to be ... unwarranted by the facts to the extent the facts are subject to trial
Even if they otherwise reasonably construe The form of proceeding for judicial review is
As the U.S. Supreme Court stated in
Petitioners' proposal--that a deficiency case be confined to issues in the NOD--would be a radical innovation that not only is at odds with the statutes discussed above but that also would change longstanding practice. Under
Of course, Congress has the power to override the Tax Court's rules and to provide, however radically, that "new matter" could not*29 be litigated in a deficiency case. But the question that petitioners' argument poses is whether Congress actually did so in enacting the APA. Nothing in the statute requires or even suggests that intention.
As petitioners point out, the Supreme Court did state in we are not inclined to carve out an approach to administrative review good for tax law only. To the contrary, we have expressly "[r]ecogniz[ed] the importance of maintaining a uniform approach to judicial review of administrative action."
The issue now before us, however, does not involve any dispute about the deference to be accorded to agency regulations, so
The Supreme Court did not, by the language in
Consequently, the Tax Court, when it considers, in a deficiency case, issues and arguments not stated in the IRS's NOD, is not proceeding at odds with the authorities that petitioners have cited.
In the alternative, petitioners contend that even if the Commissioner is otherwise permitted to plead in an answer contentions that were not in a notice of deficiency, the Commissioner should not be permitted to so plead in this instance in an amendment to the answer, because of unfair prejudice that would result.
The Commissioner raises his two new issues ("economic substance"*32 and "ordinary and necessary") not in his original answer filed January 29, 2015, nor by an amendment of right made 30 days thereafter,
Amendment of pleadings is addressed in
Central to petitioners' opposition to the motion for leave to amend is their argument that the two issues in the NOD (i.e., whether "the amount shown was (a) insurance expense, and (b) paid") are very simple issues, in contrast to two very complicated new issues now proposed to be added (i.e., whether the arrangement "lacked economic substance" and whether the amounts paid "were neither ordinary nor necessary"). Petitioners now repeatedly characterize*33 the NOD--which disputes only "(a) insurance expense, and (b) paid"--as raising only "a straightforward expense substantiation dispute" on which petitioners could easily prevail with "the mere proof of an insurance expense payment". Such proof, they say, could be decisively made with available documents: "The checks, invoices, and policies substantiate that insurance payment." In petitioners' view, "'business purpose' evidence * * * would not be needed or relevant to substantiation of an insurance payment." The addition of the issues of "economic substance" and "ordinary and necessary", petitioners contend, would prejudice them.
It is true that prejudice to the non-moving party is one of the reasons to disallow an amendment to the movant's *167 pleadings,12*34 but we reject petitioners' contention of prejudice here for two reasons:
First (but less important) we are not at all persuaded that the NOD is as simple as petitioners assert. The question whether an arrangement is "insurance" can be highly complex.13*36 And the question whether a deduction has been substantiated often depends on much more than proving the existence of a document that purports to impose a liability and proving the fact that money changed hands. This is especially true in the case of payments allegedly made to a related person or entity. The quintessence of insurance is the *168 shifting of risk,14 and where an alleged insurance premium is paid to a "captive" entity owned by the very person who*35 wants the coverage and makes the payment, the question naturally arises whether risk has actually been shifted--a question not really answered just by showing an insurance policy. And since a payment to one's own entity can sometimes be the mere moving of money from one pocket to another, the question whether a premium has really been "paid" to a captive insurer is not really answered just by showing a canceled check. Thus, if an NOD denies a deduction for premiums paid to a captive insurer because (the IRS says) "you did not establish that the amount shown was (a) insurance expense, and (b) paid", then that notice has raised much more than "a straightforward expense substantiation dispute".
Second, and more important, "prejudice", for this purpose, does not mean mere disadvantage.
The question of prejudice under
Because no trial date has yet been set, petitioners have ample time to prepare to resist the Commissioner's new contentions. We see no prejudice to petitioners in this circumstance. Petitioners do complain about "surprise" and lack of "fair notice", but the gist of their argument is not with the timing of the raising of the arguments but with the supposed vagueness of the amended answer--an issue properly addressed in connection with their third contention, discussed in part III below.
The Commissioner's motion for leave proposes an amendment to his answer that raises two new issues not in the NOD--"economic substance" and "ordinary*38 and necessary".15 The motion admits (at para. 8) that the Commissioner "will bear the burden of proof with respect to the micro-captive arrangement's lack of economic substance" (because, though the motion does not spell it out, he evidently acknowledges that the issue is "new matter" under
The NOD asserts that petitioners "did not establish that the amount shown Three times within the past two years, this Court found that insurance premiums paid to a captive insurance company17 constituted "ordinary and necessary business expenses".
Consequently, the "ordinary and necessary" issue is not "new matter" and is not subject to the pleading requirement of
To reflect the foregoing,
Footnotes
1. Unless otherwise indicated, all section references are to the Internal Revenue Code (26 U.S.C.; "the Code"), as amended and in effect for the years in issue, and all Rule references are to the Tax Court Rules of Practice and Procedure.
2. Like the Commissioner, we use the phrase "new issues" to describe the contentions in the proffered amendment to the answer without indicating thereby whether those new issues constitute "new matter" for purposes of
Rule 142(a)(1)↩ . We address "new matter" in part III of the Discussion, below.3. Petitioners characterize
, andSEC v. Chenery Corp. (Chenery I ), 318 U.S. 80, 63 S. Ct. 454, 87 L. Ed. 626 (1943) , as "the foundational APA opinions". SinceSEC v. Chenery Corp. (Chenery II), 332 U.S. 194, 196, 67 S. Ct. 1575, 91 L. Ed. 1995 (1947)Chenery I↩ predates the APA, we understand this statement to mean that Chenery I is part of the administrative law "foundation" of the APA.4.
See also ("[A] reviewing court, in dealing withChenery II , 332 U.S. at 196a determination or judgment which an administrative agency alone is authorized to make↩ , must judge the propriety of such action solely by the grounds invoked by the agency." (Emphasis added.)).5. The jurisdiction to determine a deficiency greater than in the notice has existed since 1924, and jurisdiction to determine overpayments has existed since 1926,
see ,Ewing v. Commissioner , 122 T.C. 32, 38 (2004)vacated ,439 F.3d 1009↩ (9th Cir. 2006) --i.e., since long before Congress enacted the APA (discussed in part I.B below) in 1946.6.
See also 5 U.S.C. sec. 704 ("Agency actionmade reviewable by statute and final agency actionfor which there is no other adequate remedy in a court are subject to judicial review.").Section 6213(a)↩ is the statute that makes an NOD "reviewable", and there is therefore an "adequate remedy" for errors in agency action reflected in an NOD.7.
See also 5 U.S.C. sec. 702 ("Nothing herein * * * affects * * * the power or duty of the court to * * * deny relief on any other appropriate legal or equitable ground". Thus, nothing in the APA affects the power of the Tax Court to deny a taxpayer in a deficiency case relief on "other appropriate legal * * * ground[s]", including those outside the NOD that are raised pursuant tosection 6214(a) by the Commissioner or bysection 6512(b)(1)↩ by the taxpayer.8.
See 2 B.T.A. 1359, 1364 (Rule 30↩ : "The burden of proof shall be upon the petitioner, except that in respect of any new matter of fact pleaded in his answer, it shall be upon the respondent").9.
See ("Cohen v. Sec'y of War , 7 T.C. 1002, 1010 (1946)Rule 32↩ provides: 'The burden of proof shall be upon the petitioner, except as otherwise provided by statute, and except that in respect of any new matter pleaded in his answer, it shall be upon the respondent'").10.
See Rule 142(a) ,60 T.C. 1057, 1133 : ("The burden of proof shall be upon the petitioner, except as otherwise provided by statute or determined by the Court; and except that,in respect of any new matter↩ * * * pleaded in his answer, it shall be upon the respondent") (Emphasis added.).11.
See Rule 142(a) ,109 T.C. 507, 617↩ .12. Reasons not to allow amendment of a pleading include "undue delay, bad faith or dilatory motive on the part of the movant, repeated failure to cure deficiencies by amendments previously allowed, undue prejudice to the opposing party by virtue of allowance of the amendment, futility of amendment, etc."
,Foman v. Davis , 371 U.S. 178, 182, 83 S. Ct. 227, 9 L. Ed. 2d 222 (1962)quoted in ,Gulig v. Commissioner , 293 F.3d 279, 281 (5th Cir. 2002)aff'g in part, rev'g in part 115 T.C. 478 (2000) ;see also . Petitioners do complain of the Commissioner's supposed seven-month "delay" in pleading the new issues in early September 2015, but the Commissioner shows that the petitioners' provision of information about their contentions in May and July 2015 was a reasonable occasion for the Commissioner in September 2015 to clarify his contentions. In the absence of actual prejudice to petitioners, the timing of the Commissioner's motion for leave does not reflect culpable delay that would warrant denying his motion.Estate of Quick v. Commissioner , 110 T.C. 172, 178 (1998)13. As we recently explained in
:R.V.I. Guar. Co., Ltd. & Subs. v. Commissioner , 145 T.C. 209, 224, 2015 U.S. Tax Ct. LEXIS 39 at *29-*30 (Sept. 21, 2015)The meaning of * * * ["insurance"] for Federal income tax purposes has thus been developed chiefly through a process of common-law adjudication. In the seminal case addressing this subject, the United States Supreme Court noted that '[h]istorically and commonly insurance involves risk-shifting and risk-distributing.'
. In addition to requiring risk transfer and risk distribution, the courts have considered whether the transaction constitutes insurance 'in its commonly accepted sense' and whether the risk transferred is an 'insurance risk.'Helvering v. Le Gierse , 312 U.S. 531, 539, 61 S. Ct. 646, 85 L. Ed. 996 (1941)E.g., , aff'd,Black Hills Corp. v. Commissioner , 101 T.C. 173, 182 (1993)73 F.3d 799 (8th Cir. 1996) . These factors establish a framework for determining 'the existence of insurance for Federal tax purposes.' ,AMERCO & Subs. v. Commissioner , 96 T.C. 18, 38 (1991)aff'd ,979 F.2d 162↩ (9th Cir. 1992) .14.
See .R.V.I. Guar. Co. Ltd. & Subs. v. Commissioner , 145 T.C. at 224, 2015 U.S. Tax Ct. LEXIS 39 at *30↩15. In fact, as we note above, the NOD
did disallow a 2010 deduction of $65,000 claimed by Medit by explaining that petitioners "did not establish that a part of the insurance expense claimed on your tax return wasordinary and necessary↩ to your business". This amounted to less than 3% of the captive insurance premiums disallowed in the NOD.16. The Commissioner's motion for leave states (in para. 9): "Disallowing the insurance related deductions because such expenses were neither ordinary nor necessary, however, is implicit in the notice of deficiency; respondent, however, makes the related affirmative allegations out of an abundance of caution."↩
17. The third of these three cases--
did not involve a "captive" insurance company.R.V.I. Guar. Co., Ltd. & Subs. v. Commissioner↩ , 145 T.C. 209, 2015 U.S. Tax Ct. LEXIS 3918.
See ("[I]f a deficiency notice is broadly worded and the Commissioner later advances a theory not inconsistent with that language, the theory does not constitute new matter, and the burden of proof remains with the taxpayer"),Abatti v. Commissioner , 644 F.2d 1385, 1390 (9th Cir. 1981)rev'g T.C. Memo. 1978-392↩ .19. By holding that the "ordinary and necessary" issue is not subject to the pleading requirement of
Rule 36(b)↩ , we do not by any means foreclose petitioners from using discovery, informal and formal, to learn the details of the Commissioner's contentions and the facts known to him that are relevant to those contentions.
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