Trigon Insurance v. United States

234 F. Supp. 2d 581, 90 A.F.T.R.2d (RIA) 7804, 2002 U.S. Dist. LEXIS 24785, 2002 WL 31863691
District Court, E.D. Virginia·Decided December 17, 2002·No. CIV. 3:00CV365·Published·Cited by 7 cases

Opinion

MEMORANDUM OPINION

PAYNE, District Judge.

In this action, Plaintiff, Trigon Insurance Company (“Trigon”), seeks a refund of federal income taxes, plus interest, that *583 it allegedly overpaid in the years 1989 through 1995. As explained fully in the Memorandum Opinion issued on August 9, 2002 (the “August 9 Opinion”), 1 Trigon and the United States disagreed over the meaning and effect of certain provisions of the Tax Reform Act of 1986 (the “1986 Act”). 2 Trigon asserted that certain contracts it had entered into with individual subscribers and health care providers before 1987 were valuable assets, and that, whenever one of these contracts was terminated, Trigon incurred a loss which could have been, but which was not, deducted on its tax returns in the years 1987 through 1995. Trigon failed to include those losses in its annual returns in each of those years, but it subsequently filed amended returns in which it claimed a sizeable refund for the 1989 through 1995 3 tax years. The United States opposed this refund on several grounds.

For reasons explained fully in the August 9 Opinion, the Court, accepting Trigon’s general legal theory, held that contract terminations of the type at issue were eligible losses that, upon proper proof, could qualify for a deduction of the kind claimed by Trigon. However, the August 9 Opinion also held that, as a matter of fact, Trigon had failed to satisfy its burden to prove the value of these terminated contracts, and, therefore, had failed to establish entitlement to the deduction and the refund sought. As a result, judgment was entered in favor of the United States.

Trigon now has moved the Court to alter or amend the judgment pursuant to Fed.R.Civ.P. 59(e), or in the alternative, to order, pursuant to Fed.R.Civ.P. 59(a), a new trial limited to the issue of determining the amount of the refund. For the reasons that follow, Trigon’s principal and alternate motions are denied.

STATEMENT OF FACTS

The August 9 Opinion explains in detail the circumstances giving rise to this dispute, and in the interests of brevity and completeness, that opinion is incorporated here by reference. However, a brief review of the background of this action and the Court’s findings relevant to the present motion is necessary.

The company now known as Trigon Insurance Co. is the corporate descendant of two Blue Cross and Blue Shield organizations — Blue Cross/Blue Shield of Virginia (the “Richmond Plan”) and Blue Cross/ Blue Shield of Southwestern Virginia (the “Roanoke Plan”). Those plans merged in March 1986.

Following the merger, Trigon immediately faced a changed tax landscape because, before 1987, the plans were exempt from federal income taxation, and the 1986 Act eliminated the exemption and subjected the former Blue Cross/Blue Shield organizations to taxation beginning with their first taxable years after December 31, 1986. To facilitate the transition into the new tax regime, Congress enacted a number of transitional rules, including § 1012(c)(3)(A)(ii) of the 1986 Act (the “Fresh Start Basis Rule”) which provides that:

for purposes of determining gain or loss, the adjusted basis of any asset held on the 1st day of such taxable year shall be treated as equal to its fair market value as of such day.

*584 Applying this rule, Trigon’s basis in each asset owned on January 1, 1987 (the first day of Trigon’s next tax year) was equal to the asset’s fair market value on that date. Trigon subsequently determined that among these assets were contracts with its subscribers (Trigon’s customers), and contracts with its providers (the doctors and hospitals who agreed to provide service to Trigon customers).

After January 1, 1987, as one might expect, Trigon subscribers and providers terminated some of these contracts. Trigon did not claim these terminations as losses on its tax returns. Trigon, however, eventually determined that it was entitled to claim the terminated contracts as losses, and, on November 16, 1996, Trigon filed amended income tax returns for the years 1987 through 1995 claiming loss deductions for the value of contracts terminated. The IRS denied these deductions, and after an aborted settlement agreement, Trigon filed this action.

In its Complaint, Trigon asserted that the deductions, if accepted, would have resulted in a total refund amount of $61,649,000. 4 Three categories of losses formed the basis for the claimed loss deduction:

(1) The termination, between January 1, 1987 and December 81, 1995, of 15,-998 of the 22,509 group health insurance subscription contracts owned on January 1, 1987, the estimated fair market value of such contracts on January 1, 1987 being $175,147,656;
(2) The termination, between January 1, 1987 and December 31, 1995, of 3,381 of the 9,436 provider contracts with physicians owned on January 1, 1987, the estimated fair market value of such contracts on January 1, 1987 being $207,896; and
(3)The termination, between January 1, 1987 and December 31, 1995, of its contract with Smyth County Community Hospital, the estimated fair market value of that contract on January 1,1987 being $36,507.

In essence, Trigon’s legal theory was that, on January 1, 1987, Trigon owned intangible assets in the form of health insurance subscriber and provider contracts; each of these contracts had a determinable fair market value on January 1, 1987; some of these contracts were lost by virtue of terminations during the 1987 through 1995 tax years; and the tax deductions for the losses arising from the terminated contracts translate into federal income tax refunds for the 1989 through 1995 tax years.

The United States raised five arguments in opposition to Trigon’s theory:

(1) that the stepped-up basis provided by the Fresh Start Basis Rule was not available for tax deductions based on the alleged termination of the contracts at issue;
(2) that Trigon did not establish that the “cancellation, abandonment or termination” of Trigon’s contracts constituted a tax deductible loss under the Internal Revenue Code;
(3) that, because there is no market for the individual contracts, no fair market value can be ascertained for the individual contracts;
(4) that each contract is not an individual asset and cannot be valued separately; and
(5) that Trigon did not meet its burden to prove, by a preponderance of the *585 evidence, a reliable value for the contracts that form the basis of the loss deduction here at issue.

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Trigon Insurance v. United States, 234 F. Supp. 2d 581, 90 A.F.T.R.2d (RIA) 7804, 2002 U.S. Dist. LEXIS 24785, 2002 WL 31863691 (E.D. Va. 2002).

234 F. Supp. 2d 581 (Trigon Insurance v. United States) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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