Principal Mutual Life Insurance v. United States

26 Cl. Ct. 616, 70 A.F.T.R.2d (RIA) 5215, 1992 U.S. Claims LEXIS 268, 1992 WL 147985
CourtUnited States Court of Claims
DecidedJune 30, 1992
DocketNo. 486-87T
StatusPublished
Cited by7 cases

This text of 26 Cl. Ct. 616 (Principal Mutual Life Insurance v. United States) is published on Counsel Stack Legal Research, covering United States Court of Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Principal Mutual Life Insurance v. United States, 26 Cl. Ct. 616, 70 A.F.T.R.2d (RIA) 5215, 1992 U.S. Claims LEXIS 268, 1992 WL 147985 (cc 1992).

Opinion

OPINION

SMITH, Chief Judge.

This case involves a tax refund claim by plaintiff Principal Mutual Life Insurance Company (Principal). Plaintiff seeks recovery of federal income taxes and interest for assessments paid in tax years 1977 and 1978. This opinion addresses the parties’ cross motions for summary judgment and several related procedural motions. After careful consideration of the briefs filed by the parties and after oral argument, the court grants plaintiff’s motion as it applies to the (1) waiver of premium benefits, (2) monthly payments from life insurance, (3) advertising expenses, and (4) state examination fees issues and grants defendant’s motion as it applies to the (1) monthly income pursuant to accident and health insurance and (2) agents’ debit balances issues.

FACTS

Principal1 is a mutual insurance corporation organized and existing under the laws [619]*619of the state of Iowa. Its primary business is writing various forms of life and health insurance. The issues in dispute involve Principal’s tax liability for tax years 1977 and 1978.2 During those two years, Principal treated various state-mandated reserves as being deductible from its income. Reserves are established by insurance companies to set aside sufficient funds to cover anticipated liabilities under various insurance policies. States mandate the establishment of reserves to protect the policyholders and to ensure the solvency of insurance companies. The amount of funds placed in reserves is determined on the basis of recognized mortality and morbidity tables with assumed rates of interest.

Also during the tax years in dispute, Principal deducted from its income the costs of various advertising expenses and state examination fees. Principal also excluded money advances made to its agents in its calculation of its taxable investment income. All of the deductions and the omission of the money advances from reported taxable investment income had the effect of lowering Principal’s taxable income in 1977 and 1978.

In August 1981, based on the above deductions and omissions from income, the IRS assessed an income tax deficiency against Principal for tax year 1977 in the amount of $2,486,917.33 (which included $566,685.62 in interest) and for tax year 1978 in the amount of $3,678,350.01 (which included $702,392.25 in interest). Principal paid these assessments in 1981. In August 1983, Principal filed a claim with the IRS for a refund of the deficiency assessments made against it for 1977 and 1978. The claim also demanded a refund of a portion of the deficiency interest assessed and collected by the IRS. In November 1985, the IRS sent notice of partial disallowance, stating that $783,838.42 of Principal’s claim had been disallowed for 1977 and $1,369,-700.32 for 1978. On August 13, 1987, Principal filed suit in this court seeking a refund of $756,770.26, plus $223,267.41 in deficiency interest, for 1977 and a refund of $1,337,706.98, plus $315,728.78 in deficiency interest, for 1978.

I. Disabled Lives Reserves

During 1977 and 1978, Principal had in force certain group insurance policies which were typically issued to employers as the group policyholder. The policies obligated Principal to provide insurance coverage for renewable one year terms for employees who were actively employed by the group policyholder. Employees covered by such policies were generally referred to as “active employees” or “active lives.” Principal was not obligated to renew any of these policies. Principal reserved the right to discontinue the policies in their entirety by giving 31 days’ notice to the group policyholder on the day immediately preceding the policy anniversary. Principal was also not obligated to renew any of these policies at a specified premium rate. Principal reserved the right to change the premium charged on an annual basis.

Under many of these group policies, Principal was also obligated to provide other benefits to employees who became “totally and permanently disabled” while insured under the contract. These typically included a waiver of premium benefit and a monthly income for life (or a specified period of time) benefit. To be considered “totally and permanently disabled,” and therefore eligible for such benefits, insured employees had to satisfy several conditions, including demonstration of disability. Employees satisfying conditions under these group policies were generally referred to as “disabled employees” or “disabled lives.”

Employers holding Principal’s group policies were responsible for the payment of premiums. The active and disabled employees insured under the policies were not the policyholders and had no obligation to Principal to pay the policy premium for the insurance or the benefits. If an employer either cancelled or failed to renew the [620]*620group insurance contract or failed to pay the required premium, Principal still had an obligation to provide the benefits specified in the contract to a disabled employee as long as the employee remained disabled. This obligation continued even though Principal was no longer receiving premiums and regardless of the fact that no insurance contract remained in force between Principal and the employer.

Principal kept sufficient funds to cover its obligations at issue here under group policies in one of two types of reserves. The first reserve was an “active lives reserve,” which was created for all active employees at the inception of a group policy. The purpose of this reserve was to provide for Principal’s estimated future liability for employees disabled during the one-year term a policy was in effect. The second reserve was a “disabled lives reserve,” which was created when an employee became totally and permanently disabled under the terms of the policy.3 The basic purpose of this reserve was to provide for the payment of a death benefit to disabled employees who died while disabled. When a disabled lives reserve was created for an employee, the active lives reserve for that employee was simultaneously eliminated. If the disabled employee later died, Principal would reduce the disabled lives reserve in an amount commensurate with the death benefit paid. Principal would not reduce the overall active lives reserve as the corresponding reserve originally established for the employee had already been eliminated upon disability. If the disabled employee recovered from the disability and went back to work, Principal would cancel the employee’s disabled lives reserve and create a new active lives reserve. If after recovering the employee did not return to the employer, Principal would not initiate a new active lives reserve.

The only reserves at issue in this case are the disabled lives reserves. Specifically, there are three types of disabled lives reserves at issue. The first reserve was created pursuant to one category of group life insurance policies issued by Principal. From this reserve, Principal provided for continuation of an employee’s life insurance upon disability during the period of the employee’s disability. In effect, Principal paid into this reserve the life insurance premiums for the employee after he or she had become disabled. (Under the group policies in question, employers no longer had to pay premiums for employees after disability had been established.) The second reserve was created pursuant to another category of group life insurance policies issued by Principal.

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Bluebook (online)
26 Cl. Ct. 616, 70 A.F.T.R.2d (RIA) 5215, 1992 U.S. Claims LEXIS 268, 1992 WL 147985, Counsel Stack Legal Research, https://law.counselstack.com/opinion/principal-mutual-life-insurance-v-united-states-cc-1992.