Great-West Life Assurance Co. v. State Board of Equalization

19 Cal. App. 4th 1553, 25 Cal. Rptr. 2d 1, 93 Cal. Daily Op. Serv. 8342, 1993 Cal. App. LEXIS 1125
CourtCalifornia Court of Appeal
DecidedOctober 6, 1993
DocketB067607
StatusPublished
Cited by2 cases

This text of 19 Cal. App. 4th 1553 (Great-West Life Assurance Co. v. State Board of Equalization) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Great-West Life Assurance Co. v. State Board of Equalization, 19 Cal. App. 4th 1553, 25 Cal. Rptr. 2d 1, 93 Cal. Daily Op. Serv. 8342, 1993 Cal. App. LEXIS 1125 (Cal. Ct. App. 1993).

Opinion

*1556 Opinion

NOTT, J.

The Great-West Life Assurance Company appeals from the judgment entered against it in two consolidated actions brought to recover refunds of taxes paid to respondent, the State Board of Equalization (the Board). (Rev. & Tax. Code, § 13103.) We modify and affirm the judgment.

Factual and Procedural Background

(1) Introduction and Procedural History

Each insurer in California is required to pay a tax on the gross premiums it receives each year. (Cal. Const., art. XIII, § 28 [former § 14-4/5]; Rev. & Tax. Code, §§ 12221, 12202, 12202.1.) Appellant is an insurance company which issues, inter alia, certain employee benefit policies in California.

Beginning in October 1981, the Board issued a series of deficiency assessments against appellant for underpayments of taxes on its gross premiums for the tax years 1978 to 1987.

Appellant paid the disputed amounts, then filed petitions for refund, the first of which the Board denied at a public hearing on December 8, 1988. Appellant then filed suit in superior court for refunds of the approximately $6 million it had paid, claiming that it had been denied equal protection by the Board’s ruling. 1 Following a court trial on stipulated facts, the superior court found that appellant was denied equal protection but was not entitled to a refund. Appellant appeals from the judgment that it take nothing by its complaints for refunds.

(2) The Metropolitan Decision

The deficiency assessments were issued against appellant pursuant to a recent Supreme Court decision, Metropolitan Life Ins. Co. v. State Bd. of Equalization (1982) 32 Cal.3d 649 [186 Cal.Rptr. 578, 652 P.2d 426]. That case involved the taxability of Metropolitan Life Insurance Company’s “Mini-Met” employee medical benefit plan, offered as an option to its standard coverage plan. The Mini-Met plan essentially allowed the employer-policyholder to pay employee claims up to a certain point (the trigger point), thereby reducing the amount of actual premiums paid to Metropolitan. The court held this arrangement did not necessarily result in a reduced *1557 gross premiums tax liability for Metropolitan, and looked beyond the labels designated by the parties, considering the entire insurance arrangement. It found that under the “Mini-Met” plan, the employer-policyholder was not an independent insurer, but functioned as an agent or distributor of funds. (Id. at p. 657.) Metropolitan, the insurer, retained control over many aspects of the administration of the plan, including, (1) the determination of benefits to be paid in employee claims, whether or not they were in excess of the predetermined trigger point; (2) the actual disbursement of checks to employees who filed claims; and (3) the assumption of liability for claims which the employer did not pay, whether or not they were in excess of the trigger point. The court then determined that the measure of tax liability was the “total cost of the insurance coverage provided to the insured” and that the pretrigger point claims payments by the employer were to be considered in determining Metropolitan’s gross premiums tax liability, along with the actual premiums paid by the employer to Metropolitan. (Id. at pp. 661-662.)

Appellant also issued a “minimum premium plan” to various policyholders, similar to that issued by Metropolitan. Pursuant to the Metropolitan decision, the Board issued deficiency assessments against appellant based on insurance it provided to its policyholders for which it did not actually receive premiums.

(3) The December 8, 1988, Board Hearing

One of appellant’s petitions for refund was considered at a public hearing held by the Board on December 8, 1988. At that hearing, the Board considered a number of petitions from different insurance companies. Several of those petitions involved assessment of gross premiums taxes, following the Metropolitan decision, to different types of insurance contracts, including minimum premium plans, administrative services contracts (ASO’s), and stop loss contracts. Also at issue were petitions from companies which issued minimum premium plans to Taft-Hartley trusts. 2 Appellant’s petition included requests for refunds of taxes imposed on its minimum premium *1558 plans, ASO’s and stop-loss contracts, but did not involve any plans issued to Taft-Hartley trusts.

Prior to the public hearing, the Board’s staff had apparently written recommendations as to each petition, on a case-by-case basis. The Board’s members had those recommendations at hand during the hearing and frequently referred to them. Those recommendations, however, are not part of the record and do not appear to have been introduced at trial. 3

The Board began its consideration of the petitions for refunds of gross premiums taxes on the minimum premium plans with a discussion about the variances between the particular policies at issue and those involved in the Metropolitan decision. The staff’s review had discovered that the minimum premium plans issued by the various petitioning companies were not identical.

The Board next considered whether ASO’s and stop-loss contracts were taxable and found them both to be exempt. 4

Next, the Board embarked on a protracted discussion of the application of the Metropolitan case to both Taft-Hartley trusts, and ERISA plans 5 which did not involve Taft-Hartley trusts. After a motion was made to grant refunds as to those portions of petitions involving Taft-Hartley trusts, it was suggested by one Board member that the independent nature of such trusts under federal law essentially prohibits the characterization of them as agents of insurance companies, as in the Metropolitan case. The Board focused on the legal fiction created in Metropolitan, of the employer as the agent for the *1559 insurer. The Board discussed the impact of the federal decision in General Motors Corp. v. California State Bd. of Equalization (9th Cir. 1987) 815 F.2d 1305, certiorari denied in 485 U.S. 941 [99 L.Ed.2d 282, 108 S.Ct. 1122] and noted that that case, which held that employee benefit plans could be taxed, did not involve Taft-Hartley trusts. It also considered the impact of Elfstrom v. New York Life Insurance Co. (1967) 67 Cal.2d 503 [63 Cal.Rptr. 35, 432 P.2d 731], in which the insurance company was held liable for the erroneous exclusion of an employee from a benefit plan.

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19 Cal. App. 4th 1553, 25 Cal. Rptr. 2d 1, 93 Cal. Daily Op. Serv. 8342, 1993 Cal. App. LEXIS 1125, Counsel Stack Legal Research, https://law.counselstack.com/opinion/great-west-life-assurance-co-v-state-board-of-equalization-calctapp-1993.