Harco Holdings, Incorporated, and Subsidiaries v. United States

977 F.2d 1027, 1992 WL 324388
Court of Appeals for the Seventh Circuit·Decided November 9, 1992·No. 91-1387·Published·Cited by 14 cases

Opinion

CUDAHY, Circuit Judge.

Life insurance companies receive favorable treatment under the Internal Revenue Code. To qualify for such favorable treatment, an insurance company must meet statutory criteria that measure how much of the company’s business is life insurance. In 1978, the tax year in question, the qualification test was codified at 26 U.S.C. § 801 (1978 Supp.). 1 We are called upon to interpret a small portion of the statute and to decide whether accrued unpaid losses should be taken into account when determining whether an insurance company is a life insurance company.

I.

Harco Holdings, Inc. (Harco 2 ) owns a subsidiary, Association Life Insurance Company. In 1978 Association Life was in the business of writing life insurance and accident and health insurance. When preparing tax returns for 1978, Harco originally figured that Association Life was not a life insurance company, and paid taxes accordingly. Later, Harco decided that it had made a mistake: Association Life was a life insurance company in 1978, and the IRS owes Harco a refund of $790,794.

The facts are simple and not in dispute, but the complexity of the legal issue makes this a hard case, and somewhat difficult to describe. 3 First, we must define some insurance industry terms and describe some accounting conventions. States require in *1029 surance companies to maintain defined levels of solvency to assure the payment of future claims. To facilitate state regulation, insurance companies must report their anticipated liability for claims on a standard Annual Statement promulgated by the National Association of Insurance Commissioners (NAIC). The Annual Statement divides such obligations into two categories: “reserves” and “liabilities.” Reserves, according to the NAIC, measure claims for which the insurer will become liable in the future. Liabilities, on the other hand, correspond to claims for which the insurer is liable now. The shorthand term for the distinction between current and future obligations is “accrual”: liabilities are accrued claims, reserves are unaccrued claims. 4

The term we must construe is “unpaid losses.” Generally speaking (a qualification that will become important), an unpaid loss is an insurer’s estimate of its liability for claims arising out of injuries that have already occurred. Unpaid losses in this general sense do not fit neatly into the categories already described. Some unpaid losses are accrued, others are not. To give a concrete example, imagine someone with health insurance who has been seriously injured in a car crash: the medical expenses she has incurred in the emergency room are considered to be accrued, for she may claim reimbursement at any time; the medical expenses that she will incur in rehabilitation are unacerued, however. Although the insurance company may estimate what those future expenses will be, it need not pay for them until she actually receives treatment.

Now we turn to the statute. Section 801 has been around, in one form or another, since 1921. In 1921, the statutory test worked as follows: an insurance company was a life insurance company if more than half of its total reserves were life insurance reserves. Revenue Act of 1921, ch. 136, 42 Stat. 227 § 242. This measurement is often referred to as the “reserve ratio.” The statute was somewhat flawed, however, in that none of the key terms was defined. In 1942, Congress amended the test for identifying life insurance companies; these amendments are the crucial ones for our purposes. The Revenue Act of 1942 provided a definition for “life insurance reserves,” see § 801(b), added “unpaid losses on noncancellable life, health, or accident policies” to “life insurance reserves” in the numerator of the reserve ratio, see § 801(a)(2), and provided a definition for “total reserves” (the denominator of the reserve ratio) that includes “unpaid losses,” see § 801(c). Revenue Act of 1942, Pub.L. No. 77-753, 56 Stat. 798 § 163(a) (1942 Act). We present a simplified schematic of the reserve ratio here and reprint the relevant portions of the statute in the margin: 5

*1030 life insurance reserves + unpaid losses on noncancelable life, health, or accident policies

life insurance reserves +

unpaid losses +

all other reserves

Harco claims that when the statute refers to “unpaid losses,” it means only those unpaid losses that are reserves in the NAIC sense. In other words, “unpaid losses” means unaccrued unpaid losses. 6 Under this reading, the definition of total reserves is the same both before and after the 1942 amendments. The IRS, on the other hand, says that “unpaid losses” means all unpaid losses, both accrued and unaccrued.

The dispute is significant because in 1978 Association Life reported approximately $4 million of accrued unpaid losses on its can-celable accident and health insurance policies. If Association Life’s accrued unpaid losses are included in its “total reserves,” then its life insurance reserves were less than half of its total reserves. If accrued unpaid losses are not included, however, Association Life satisfied the reserve ratio test, was a life insurance company in 1978 and is entitled to a refund. On cross-motions for summary judgment, the district court gave judgment for the IRS, 754 F.Supp. 130 (N.D.I11.1990). We reverse and remand for calculation of Harco’s refund.

II.

A. “Plain” Language

We begin with the language of the statute. The IRS makes a common-sense argument: if the statute says “unpaid losses,” it means all unpaid losses, both accrued and unaccrued. Although this plain language argument has appeal, we cannot stop here. First, the plain language rule does not apply to parts of sentences. First Chicago Corp. v. Commissioner, 842 F.2d 180, 183 (7th Cir.1988). Second, context is important to explain the meaning of otherwise intelligible terms, especially when referring to a complicated and highly technical portion of the tax code. Id. Finally, the Court of Claims, which has somewhat more experience with this statute than we, urges caution when construing the terms of section 801: “It is well established that the technical provisions of section 801 (and its predecessors) were couched by Congress in language peculiar to the insurance industry and therefore intended to have the meaning generally attributed thereto by the experts.” Alinco Life Ins. Co. v. United States, 178 Ct.Cl. 813, 373 F.2d 336, 352 (1967).

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

Harco Holdings, Incorporated, and Subsidiaries v. United States, 977 F.2d 1027, 1992 WL 324388 (7th Cir. 1992).

977 F.2d 1027 (Harco Holdings, Incorporated, and Subsidiaries v. United States) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Michael Wu v. United States
835 F.3d 711 (Seventh Circuit, 2016)
Barmes v. Commissioner
12 F. App'x 415 (Seventh Circuit, 2001)
BEST LIFE ASSUR. CO. v. COMMISSIONER
2000 T.C. Memo. 134 (U.S. Tax Court, 2000)
Central Reserve Life Corp. v. Commissioner
113 T.C. No. 19 (U.S. Tax Court, 1999)
Buckeye Power, Inc. v. United States
38 Fed. Cl. 283 (Federal Claims, 1997)
Gulf Life Insurance v. United States
35 Fed. Cl. 12 (Federal Claims, 1996)
Buchanan v. United States
892 F. Supp. 1073 (N.D. Illinois, 1995)
Hubbard v. Prudential Securities Inc.
21 F.3d 139 (Seventh Circuit, 1994)
In Re Vms Securities Litigation.
21 F.3d 139 (Seventh Circuit, 1994)