Grp. Health Coop. v. Department of Revenue

438 P.3d 158
Court of Appeals of Washington·Decided April 1, 2019·No. No. 79091-9-I·Published·Cited by 2 cases

Opinion

Smith, J.

*160*212¶1 Group Health Cooperative (GHC) and Group Health Options Inc. (GHO) appeal the summary dismissal of their complaint for a refund of business and occupation (B & O) taxes paid on certain premiums they *213received from or on behalf of their members for providing Medicare Advantage (MA) plans.1 The premiums at issue are described in 42 U.S.C. § 1395w-24(g) and consist of "payments to Medicare+Choice organizations under [ 42 U.S.C.] section 1395w-23 [and] premiums paid to such organizations under [part C of Title 42, chapter 7, subchapter XVIII of the United States Code]" (collectively MA premiums). We hold that although MA premiums are subject to B & O tax under state law, federal law preempts the imposition of B & O taxes on MA premiums. Therefore, we reverse and remand to the trial court to determine the refund amount.

FACTS

¶2 GHC and its wholly owned subsidiary, GHO (collectively Group Health), provide health care coverage to members in Washington and Idaho. Group Health's health care plans include MA health benefit plans, which Group Health has contracted with the Centers for Medicare & Medicaid Services (CMS) to provide. CMS is a division of the Department of Health and Human Services, a federal agency. In exchange for providing MA plans to eligible members, Group Health receives MA premiums from CMS and from Group Health members.

¶3 In 2012, GHO requested a determination from the Washington State Department of Revenue (Department) as to whether Washington State B & O tax applies to MA premiums. The Department responded that B & O tax does apply, and Group Health paid B & O tax based on MA premiums recorded as income from 2010 through February 2016.

¶4 In May 2016, Group Health filed this lawsuit for a refund of those B & O tax payments. It then moved for *214summary judgment, arguing that (1) MA premiums are exempt from B & O tax under RCW 82.04.322 and (2) federal law preempts the Department's imposition of B & O tax on MA premiums. The trial court disagreed with both arguments and denied Group Health's motion. Because no genuine issues of material fact remained in dispute, the court entered summary judgment in favor of the Department. Group Health appeals.

ANALYSIS

Applicability of B & O Taxes to MA Premiums

¶5 Group Health argues that the trial court erred by concluding that MA premiums are not exempt from B & O taxes under RCW 82.04.322. We disagree.

¶6 The meaning of a statute is a question of law that this court reviews de novo. Durant v. State Farm Mut. Auto. Ins. Co., 191 Wash.2d 1, 8, 419 P.3d 400 (2018). Our "fundamental objective in determining what a statute means is to ascertain and carry out the legislature's intent." Durant, 191 Wash.2d at 8, 419 P.3d 400. "If the statute's meaning is plain on its face, then courts must give effect to its plain meaning as an expression of what the legislature intended." Durant, 191 Wash.2d at 8, 419 P.3d 400. To discern a statute's plain meaning, we consider the text of the provision in question, taking into account the statutory scheme as a whole. Dep't of Ecology v. Campbell & Gwinn, L.L.C., 146 Wash.2d 1, 11, 43 P.3d 4 (2002). "We may use a dictionary to discern the plain meaning of an undefined statutory term." Nissen v. Pierce County, 183 Wash.2d 863, 881, 357 P.3d 45 (2015). If, after conducting this inquiry, the statute is "susceptible to more than one reasonable meaning, the statute is ambiguous and it is appropriate to resort to aids to construction, including legislative history." Campbell & Gwinn, 146 Wash.2d at 12, 43 P.3d 4. Because courts presume that taxes are valid, a taxpayer that *161claims immunity from a tax bears the burden of establishing an *215exemption. Avnet, Inc. v. Dep't of Revenue, 187 Wash.2d 44, 49-50, 384 P.3d 571 (2016).

Free access — add to your briefcase to read the full text and ask questions with AI

Grp. Health Coop. v. Department of Revenue, 438 P.3d 158 (Wash. Ct. App. 2019).

438 P.3d 158 (Grp. Health Coop. v. Department of Revenue) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Envolve Pharmacy Solutions, Inc., V. State Of Wa, Dept Of Revenue
524 P.3d 1066 (Court of Appeals of Washington, 2023)
Health Net Life Ins. Co. v. Dept. of Rev.
24 Or. Tax 514 (Oregon Tax Court, 2021)