Hanover Insurance Company, Successor in Interest to Massachusetts Bonding and Insurance Company v. Commissioner of Internal Revenue

598 F.2d 1211, 43 A.F.T.R.2d (RIA) 1165, 1979 U.S. App. LEXIS 14821
CourtCourt of Appeals for the First Circuit
DecidedMay 8, 1979
Docket78-1407
StatusPublished
Cited by32 cases

This text of 598 F.2d 1211 (Hanover Insurance Company, Successor in Interest to Massachusetts Bonding and Insurance Company v. Commissioner of Internal Revenue) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hanover Insurance Company, Successor in Interest to Massachusetts Bonding and Insurance Company v. Commissioner of Internal Revenue, 598 F.2d 1211, 43 A.F.T.R.2d (RIA) 1165, 1979 U.S. App. LEXIS 14821 (1st Cir. 1979).

Opinion

PETTINE, District Judge.

Appellant Hanover Insurance Company (Hanover) seeks this Court’s review of a decision of the United States Tax Court upholding the Commissioner’s determination of a deficiency in the income tax of Massachusetts Bonding and Insurance Company (MBI) for the taxable year 1960. Hanover is the successor in interest to MBI, which was merged into Hanover on June 30, 1961.

MBI filed federal income tax returns for its calendar years 1959 and 1960 and its taxable period ending on June 30, 1961 (the date of its merger into Hanover) with the District Director of the Internal Revenue Service in Boston, Massachusetts. On December 20, 1970 the Commissioner issued a Notice of Deficiency to Hanover in which he determined a deficiency of $441,081.10 for 1959 and $446,206.34 for 1960. On March 30, 1978 the United States Tax Court entered its final decision in this matter, in which it found that there was a deficiency in MBI’s 1960 income tax of $331,644.28. 1 It is that determination which is challenged before this Court.

MBI was a casualty insurance company with its principal place of business in Massachusetts. 2 During the years at issue here, it wrote 24 lines of casualty insurance. MBI filed annual statements with the Massachusetts Commissioner of Insurance, utilizing the form of an annual statement approved by the National Association of Insurance Commissioners (N.A.I.C.). 3 That form also was utilized by MBI in its computation of taxable income for federal tax purposes pursuant to the requirements of 1. R.C. § 832.

I.R.C. § 832(a) defines “insurance company taxable income” as “the gross income as defined in subsection (b)(1) less the deductions allowed by subsection (c).” Subsection (b)(1)(A) defines “gross income” for this purpose as

the combined gross amount earned during the taxable year, from investment income and from underwriting income as provided in this subsection, computed on the basis of the underwriting and investment exhibit of the annual statement approved by the [N.A.I.C.].

“Underwriting income” is defined thereafter as “the premiums earned on insurance contracts during the taxable year less losses incurred and expenses incurred.” § 832(b)(3). § 832(c) also authorizes the deduction from taxable income of losses incurred.

The present dispute involves the computation of MBI’s “losses incurred” under § 832(b)(3). The Code provides for computation of this figure as follows:

The term “losses incurred” means losses incurred during the taxable year on insurance contracts, computed as follows: (A) To losses paid during the taxable year, add salvage and reinsurance recoverable outstanding at the end of the preceding taxable year and deduct salvage *1214 and reinsurance recoverable outstanding at the end of the taxable year.
(B) To the result so obtained, add all unpaid losses outstanding at the end of the taxable year and deduct unpaid losses outstanding at the end of the preceding taxable year.
I.R.C. § 832(b)(5).

Treas.Reg. § 1.832-1 (I960) 4 repeats the requirements of I.R.C. § 832 and admonishes insurance companies to “be prepared to establish to the satisfaction of the District Director” that

the part of the deduction for “losses incurred” which represents unpaid losses at the close of the taxable year comprises only actual unpaid losses stated in amounts which, based upon the facts in each case and company’s experience with similar cases, can be said to represent a fair and reasonable estimate of the amount the company will be required to pay.

The regulation warns further that amounts in excess of actual liability so determined will be disallowed as deductions, and that the District Directors may require submission of information sufficient to establish “the reasonableness of the deduction for ‘losses incurred’ ”. 5

Thus the Code recognizes that “unpaid losses outstanding” can only be estimated for a given year when that year’s return is filed, because the amount of payments which will be made on all outstanding claims cannot be ascertained until settlement or litigation of all claims arising during that year. Treas.Reg. § 1.832-l(b) anticipates that insurance companies will deduct only a “fair and reasonable estimate” of actual unpaid losses outstanding. The Commissioner’s notice of deficiency for 1959 and 1960 was the result of the parties’ differences of opinion as to the proper amount of deduction which should be allowed in the computation of MBI’s taxable income for those years.

MBI calculated its unpaid loss reserve— the same figure it claimed as a deduction— according to two methods. One method involved examination of individual cases by claims examiners who estimated the dollar value of liability. A second approach, used to estimate the value of claims which presumably had occurred but were not yet reported, involved application of a formula based on historical experience to premiums in force for a given period. 6

For the taxable year 1960, the Commissioner’s method for testing the reasonableness of an insurance company’s unpaid loss deduction was based on a historical analysis of prior years’ estimated and actual losses. 7 The Commissioner examined the taxpayer’s *1215 experience in years prior to the taxable year in question to determine whether reserves for losses were greater or less than actual losses for the prior years. The actual, or “developed” losses were ascertained after they were paid out in subsequent years. Although the testing method varied among different categories of insurance, 8 the ultimate rule of thumb was the same for all lines of insurance. If reserves for prior years proved to have exceeded developed losses for those years by more than 15 percent, the deduction for the taxable year in question was presumed to overstate reality by the same proportion. The Commissioner would reduce the deduction allowed for the year at issue by a percentage equal to the percentage by which prior years’ estimates were excessive by more than 15 percent. Thus, for example, if the “experi *1216 ence rate” (past estimates divided by actual losses) was 123 percent, the Commissioner would assume that the claimed deduction for the year at issue represented 123 percent of actual losses for that year. A loss deduction would be allowed only equal to 115 percent of the amount determined by the Commissioner to be the proper figure based on the taxpayer’s experience rate. 9

The Tax Court also heard evidence concerning audits of MBI’s annual statements by the National Association of Insurance Commissioners. Those audits, conducted at three year intervals by Massachusetts state officials together with N.A.I.C.

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Bluebook (online)
598 F.2d 1211, 43 A.F.T.R.2d (RIA) 1165, 1979 U.S. App. LEXIS 14821, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hanover-insurance-company-successor-in-interest-to-massachusetts-bonding-ca1-1979.