Opinion

United States v. State of Delaware Department o

  • 66 F.4th 114
Court
Court of Appeals for the Third Circuit
Filed
Apr 21, 2023
Status
Published
Cited by
2 cases
Authority
More cited than 44.8%

The opinion

PRECEDENTIAL

UNITED STATES COURT OF APPEALS

FOR THE THIRD CIRCUIT

_____________

No. 21-3008

_____________

UNITED STATES OF AMERICA

v.

STATE OF DELAWARE DEPARTMENT OF

INSURANCE,

Appellant

_______________

On Appeal from the United States District Court

For the District of Delaware

(D.C. No. 1-20-cv-0829)

District Judge: Honorable Maryellen Noreika

_______________

Argued

November 8, 2022

Before: JORDAN, SCIRICA, and RENDELL, Circuit

Judges

(Filed April 21, 2023 )

_______________

James J. Black, III [ARGUED]

Mark W. Drasnin

Jeffrey B. Miceli

Black & Gerngross

1617 John F. Kennedy Blvd.

Suite 1575

Philadelphia, PA 19103

Patricia A. Davis

Office of Attorney General of Delaware

Delaware Department of Justice

102 West Water Street – 3rd Floor

Dover, DE 19904

Kathleen P. Makowski

Office of Attorney General of Delaware

Department of Justice

820 N. French Street – Suite 1010

Wilmington, DE 19801

Counsel for Appellants

Travis S. Hunter

Richards Layton & Finger

920 N. King Street

One Rodney Square

Wilmington, DE 19801

Counsel for Amicus Appellants

2

Ward W. Benson

Kyle L. Bishop

United States Department of Justice

Tax Division

P.O. Box 227

Ben Franklin Station

Washington, DC 20044

Michael J. Haungs

Lauren E. Hume

Francesca Ugolini [ARGUED]

United States Department of Justice

Tax Division

950 Pennsylvania Avenue

P.O. Box 502

Washington, DC 20044

Counsel for Appellee

_______________

OPINION OF THE COURT

_______________

JORDAN, Circuit Judge.

This case pits Delaware’s authority to protect corporate

privacy against the power of the IRS to enforce the tax laws of

the United States. The dispute arises from the refusal of the

Delaware Department of Insurance (the “Department”) to

comply with an IRS summons. The Department relies on Title

18, Section 6920 of the Delaware Code, which generally

prohibits the Department from disclosing certain information

about captive insurance companies to anyone, including the

3

federal government, absent the companies’ consent.1 But

§ 6920 does allow disclosure to the federal government if it

agrees in writing to keep the disclosed information

confidential. The government did not and instead petitioned

the District Court to enforce its summons. The Court granted

that petition. The Department argues that, under the

McCarran-Ferguson Act (“MFA”), 15 U.S.C. § 1011 et seq.,

Delaware law as embodied in § 6920 overrides the IRS’s

statutory authority to issue and enforce summonses, so the

District Court’s order should be reversed.

While the MFA does protect state insurance laws from

intrusive federal action when certain requirements are met, the

District Court concluded that, before any such reverse-

preemption occurs, our precedent requires that the conduct at

issue – in this case, the refusal to produce summonsed

documents – must constitute the “business of insurance” within

the meaning of the MFA. [J.A. at 008, 012-17, 024-33.] The

District Court held that this threshold requirement was not met

here, and we agree. We will therefore affirm.

I. BACKGROUND

A. Origin of the McCarran-Ferguson Act and Its

Relevant Text

The MFA was Congress’s response to the Supreme

Court’s decision in United States v. South-Eastern

Underwriters Ass’n, 322 U.S. 533 (1944). Before that

1

A captive insurance company is an insurance company

that is wholly owned and controlled by its insureds. Avrahami

v. Comm’r of Internal Revenue, 149 T.C. 144, 176 (T.C. 2017).

4

decision, “it had been assumed that ‘[i]ssuing a policy of

insurance [wa]s not a transaction of commerce,’ subject to

federal regulation.” U.S. Dep’t of Treasury v. Fabe, 508 U.S.

491, 499 (1993) (quoting Paul v. Virginia, 75 U.S. (8 Wall.)

168, 183 (1869)). That changed when South-Eastern

Underwriters held that “insurance transactions were subject to

federal regulation under the Commerce Clause, and that the

antitrust laws in particular[] were applicable to them.” SEC v.

Nat’l Sec., Inc., 393 U.S. 453, 458 (1969).

Fearing that South-Eastern Underwriters would

“undermine state efforts to regulate insurance,” Congress

enacted the MFA. Humana Inc. v. Forsyth, 525 U.S. 299, 306

(1999). Relevant to our inquiry today are the provisions of the

statute codified at §§ 1011 and 1012 of Title 15 of the United

States Code.2 The first, denominated “Declaration of policy,”

states:

Congress hereby declares that the continued

regulation and taxation by the several States of

the business of insurance is in the public interest,

and that silence on the part of the Congress shall

not be construed to impose any barrier to the

regulation or taxation of such business by the

several States.

15 U.S.C. § 1011. Then, § 1012 provides:

2

All references herein to the MFA are to its provisions

as codified.

5

(a) State regulation

The business of insurance, and every person

engaged therein, shall be subject to the laws of

the several States which relate to the regulation

or taxation of such business.

(b) Federal regulation

No Act of Congress shall be construed to

invalidate, impair, or supersede any law enacted

by any State for the purpose of regulating the

business of insurance, or which imposes a fee or

tax upon such business, unless such Act

specifically relates to the business of insurance:

Provided, That after June 30, 1948, the Act of

July 2, 1890, as amended, known as the Sherman

Act, and the Act of October 15, 1914, as

amended, known as the Clayton Act, and the Act

of September 26, 1914, known as the Federal

Trade Commission Act, as amended, shall be

applicable to the business of insurance to the

extent that such business is not regulated by State

law.

15 U.S.C. § 1012.

The Supreme Court later, in Prudential Insurance Co.

v. Benjamin, 328 U.S. 408 (1946), “explained the legislative

intent behind the statute’s preclusionary approach to federal

intrusion on state insurance laws.” Sabo v. Metro. Life Ins. Co.,

137 F.3d 185, 189 (3d Cir. 1998). It said, among other things,

that Congress’s “purpose was broadly to give support to the

existing and future state systems for regulating and taxing the

business of insurance.” Prudential Ins. Co., 328 U.S. at 429.

6

Those closing words ‒ “the business of insurance” ‒ have high

salience in this dispute over captive insurance companies.

B. Overview of Captive Insurance

A “captive” insurance company is one that is wholly

owned and controlled by its insureds. Avrahami v. Comm’r of

Internal Revenue, 149 T.C. 144, 176 (T.C. 2017). This type of

entity protects the owner-insured while simultaneously

allowing the benefit of reaping the captive company’s

underwriting revenues. Businesses that are experienced in

establishing and managing captive insurance companies are

called “captive managers.” (J.A. at 241 at ¶ 14.) Captive

managers facilitate the creation and management of captive

insurers in jurisdictions that have passed captive insurance

enabling legislation, as has Delaware.

Captive insurance is effectively a kind of self-insurance,

but one with an added tax benefit: “Amounts paid for insurance

are deductible under [26 U.S.C. § 162(a)] as ordinary and

necessary expenses paid or incurred in connection with a trade

or business[,]” as opposed to “amounts set aside in a loss

reserve as a form of self-insurance,” which are not deductible.

Avrahami, 149 T.C. at 174. The upshot is that a company that

wishes to hold money aside in case of loss can reduce its

taxable income by paying such money as premiums to its

captive insurer and then deducting the premiums.

Title 18 of the Delaware Code (the “Delaware Insurance

Code”) governs insurers and insurance professionals licensed

under Delaware law. Chapter 69 of the Delaware Insurance

Code is the part of the state’s statutory scheme governing the

formation, licensing, and regulation of captive insurers. Under

7

Chapter 69, corporations and various alternative entities can

apply for certificates of authority from the Insurance

Commissioner of the State of Delaware to operate as captive

insurance companies. 3 If a certificate is granted, the resulting

Delaware captive insurance company is generally subject to

triennial examinations in which the Department “thoroughly

inspect[s] and examine[s] [the company’s] affairs to ascertain

its financial condition, its ability to fulfill its obligations and its

compliance with the provisions of [Chapter 69].” 18 Del. Code

Ann. § 6908.

Section 6920 of the Delaware Insurance Code, which is

central to the present controversy, relates to the confidential

treatment of materials and information that captive insurers are

required to submit to the Department. It provides, in pertinent

part:

All portions of license applications reasonably

designated confidential by … an applicant

captive insurance company, … and all

examination reports, … recorded information,

[and] other documents, … produced or obtained

3

A would-be captive insurance company may apply for

a “certificate of authority” from the Commissioner, as provided

in 18 Del. Code Ann. § 6903 (“License application; certificate

of authority”). Once issued a “certificate of authority,” a

captive insurance company is “authoriz[ed] … to do insurance

business in th[e] State.” Id. § 6903(f). The terms

“Commissioner” and “the Department” will be used herein

interchangeably, as there is no issue in this case relating to

delegation of the Commissioner’s authority.

8

by or submitted or disclosed to the

Commissioner that are related to an examination

pursuant to this chapter must, unless the prior

written consent … of the captive insurance

company … has been obtained, be given

confidential treatment …, and may not be …

disclosed to any other person at any time except:

….

To a law-enforcement official or agency

of … the United States of America so long

as such official or agency agrees in

writing to hold it confidential and in a

manner consistent with this section.

§ 6920.

In short, § 6920 prohibits the Department from

disclosing covered information to anyone, including the

federal government, unless the captive insurance company

consents, or, as relevant here, the federal government agrees in

writing to treat the information as confidential.

C. Overview of “Micro-Captive” Insurance and

Tax Concerns

As mentioned above, captive insurance can be used to

obtain a tax benefit for the insureds by permitting them to claim

deductions for the premiums they pay. But that does not

prevent the IRS from taxing the captive insurers. “While the

[Internal Revenue] Code permits the deduction of insurance

premiums paid, it also taxes insurance premiums received.”

Avrahami, 149 T.C. at 174 (emphasis in original); see also id.

9

at 175 (“Insurance companies – other than life-insurance

companies … – are generally taxed on their income in the same

manner as other corporations.”).

There is, however, an exception of particular relevance

here: insurance companies whose annual net written premiums

do not exceed a specified maximum and meet certain other

requirements may elect tax treatment under 26 U.S.C.

§ 831(b).4 See id. at 176, 178-79 & n.46. That election allows

a captive insurance company to pay no taxes on the premiums

it receives. IRS Notice of Transaction of Interest – Section

831(b) Micro-Captive Transactions (“2016 IRS Notice”),

2016-47 I.R.B. 745 (2016). Instead, it only pays tax on any

eligible investment income it may have. Id.; see also

Avrahami, 149 T.C. at 176 (explaining that such an entity is

“subject to tax only on its taxable investment income”). In that

4

That section generally provides that instead of paying

taxes computed using their taxable income, insurance

companies that have elected this treatment have their “tax

computed by multiplying” their “taxable investment income”

“by the rates provided in [26 U.S.C.] section 11(b).” 26 U.S.C.

§ 831(b)(1) (setting the general tax consequence for certain

small insurance companies). The 2015 amendments to 26

U.S.C. § 831(b) set the threshold at $2.2 million and provided

that this will periodically be “increased for inflation.”

Avrahami, 149 T.C. at 176 n.46. The federal government

represents that as of the time it filed its Answering Brief, the

maximum still stands at $2.2 million. The 2015 amendments

to 26 U.S.C. § 831(b) “added new diversification requirements

that an insurance company must meet in order to receive the

favorable tax treatment of subsection (b).” Id.

10

circumstance, then, the insured can deduct premiums from its

taxable income without its captive insurer being taxed on those

same premiums.

Insurance companies that are both “captive insurers”

and taxed under 26 U.S.C. § 831(b) are known as “micro-

captives.” The term “micro-captive” does not appear

anywhere in the Delaware Captive Law or the Internal

Revenue Code. It is simply an apt description used by the IRS

and the Tax Court, among others, to designate a captive

insurance company whose annual net written premiums do not

exceed the maximum allowed for it to elect the special tax

treatment available under § 831(b). See Avrahami, 149 T.C. at

176, 178-79 (discussing such companies and transactions, their

tax consequences, and their potential for abuse).

While the IRS has explicitly “recognize[d] that related

parties may use captive insurance companies that make

elections under § 831(b) for risk management purposes that do

not involve tax avoidance,” it has identified “micro-captive”

transactions as having “a potential for tax avoidance or

evasion.” 2016 IRS Notice, 2016-47 I.R.B. 745. For example,

“[u]nscrupulous promoters” may “persuade closely held

entities to … create captive insurance companies onshore or

offshore, drafting organizational documents and preparing

initial filings to state insurance authorities and the IRS.” IRS

News Release IR-2015-19 (Feb. 3, 2015),

https://www.irs.gov/pub/irs-news/IR-15-019.pdf. Too often,

these micro-captives are not providing bona fide insurance.

“Underwriting and actuarial substantiation for the insurance

premiums paid are either missing or insufficient.” Id. Instead,

their purpose is to serve as a conduit for inflated premiums that

their insureds can deduct as business expenses, while the faux

11

insurer, by keeping the premiums below the threshold for

§ 831(b), is taxed only on the investment income it may have.

Id. The promoters help paper over the charade and may

“assist[] with creating and ‘selling’ to the entities often times

poorly drafted ‘insurance’ binders and policies to cover

ordinary business risks or esoteric, implausible risks for

exorbitant ‘premiums[.]’” Id. All the while, the insured may

retain actual commercial insurance coverage from traditional

insurers. Id.

Accordingly, “the IRS has applied increased scrutiny to

these transactions, adding them to [its] ‘dirty dozen’ list of tax

scams in 2015 and declaring them ‘transactions of interest’ in

2016.” Avrahami, 149 T.C. at 173. A 2016 IRS Notice

declared micro-captive transactions satisfying certain criteria

as “transactions of interest” that must be reported to the IRS.

IRS Notice, 2016-47 I.R.B. 745.

D. Factual Background

The summons enforcement action now on appeal arises

from the IRS’s investigation of Artex Risk Solutions, Inc.

(“Artex”), and Tribeca Strategic Advisors, LLC (“Tribeca”),

the latter entity being wholly owned by Artex. The

investigation seeks to determine whether Artex and Tribeca are

liable for penalties under 26 U.S.C. § 6700 for promoting

abusive tax shelters.5 The federal government successfully

enforced two summonses issued to Artex, leading to a

production of documents in 2014. Those documents included

5

The origins of that investigation are immaterial to the

issues before us now.

12

two email chains between Artex and the Delaware Department

of Insurance that piqued the interest of the IRS and led to the

summons at issue here. The first email chain related to the

issuance by the Department of certificates of authority in

December 2012 to an Artex client. The second involved the

Department’s Director of Captive and Financial Insurance

Products, who declined a dinner invitation from Artex but

scheduled a breakfast meeting the following day with six

Department employees and Artex.

On October 30, 2017, the IRS issued an administrative

summons to the Department for testimony and certain records

relating to filings by and communications with Artex, Tribeca,

or others working with those companies. Of main concern is

what the parties and District Court refer to as “Request 1” of

the summons. Request 1 seeks “all electronic mail between

[the Department] and Artex and/or Tribeca related to the

Captive Insurance Program.” (J.A. at 065.) The “Captive

Insurance Program” is broadly defined in the summons as “any

arrangement managed by Artex or Tribeca wherein captive

insurance companies, defined by [Chapter 69 of the Delaware

Insurance Code], provide either insurance and/or reinsurance.”

(J.A. at 063.) At the time of the summons, it seems the IRS

believed that the Department had issued 191 certificates of

authority to insurance companies created by Artex and

Tribeca.6 It directed the Department to appear before a revenue

agent to give testimony and produce requested documents by

November 29, 2017.

6

The Department has represented that it actually issued

225 certificates of authority to companies created by Artex and

Tribeca.

13

The Department responded with objections to the

summons, including confidentiality objections pursuant to

§ 6920 of the Delaware Insurance Code. The IRS declined the

Department’s request to agree in writing to abide by the

confidentiality requirements of § 6920. The Department has

thus continued to refuse to produce any emails or other

documents responsive to Request 1 that relate to specific

captive insurers created by Artex and Tribeca, absent the

affirmative consent of the relevant captive insurers, and no

representative of the Department has ever appeared to provide

testimony. Any limited compliance with the summons was

tailored to avoid violating § 6920 and does not bear on the

issues before us.

E. Procedural Background

Given the Department’s refusal to comply with the

summons, the federal government filed in the District Court a

petition to enforce it, supported by a declaration from IRS

Revenue Agent Bradley Keltner. Specifically, the government

sought an order directing the Department to comply with

Request 1 of the summons and the demand for testimony. A

Magistrate Judge, the Honorable Christopher J. Burke, issued

an order to show cause why the Department should not be

compelled to comply with the summons. The Department

opposed the petition for enforcement and moved to quash the

summons. Of importance here, the Department argued that,

under the MFA, § 6920 reverse-preempts the IRS’s summons

authority.7

7

To make out a prima facie case for the validity of a

summons, the federal government must show each of the

following: (1) “that the investigation will be conducted

14

The Magistrate Judge issued a thorough Report and

Recommendation concluding that the petition to enforce the

summons should be granted. He recommended against any

holding of reverse-preemption under the MFA, after analyzing

the question at length. First, he explained how MFA reverse-

preemption is “an exception to the general rule” that a “state

statute yields under the doctrine of preemption” in the face of

a conflicting federal statute. (J.A. at 025.) Specifically, he

explained that, unlike the normal situation, the MFA “permits

state laws to trump federal laws in certain circumstances (or to

‘reverse preempt’ those laws).” (J.A. at 025.) Further, he

described how the MFA’s reverse-preemption provision,

codified in § 1012(b), contains two clauses, with the first

pursuant to a legitimate purpose”; (2) “that the inquiry may be

relevant to the purpose”; (3) “that the information sought is not

already within the [IRS’s] possession”; and (4) “that the

administrative steps required by the [United States Tax] Code

have been followed.” United States v. Rockwell Int’l, 897 F.2d

1255, 1262 (3d Cir. 1990) (quoting United States v. Powell,

379 U.S. 48, 57-58 (1964)) (internal quotation marks omitted).

Before Judge Burke, the Department argued the third

prerequisite had not been shown. He decided that the federal

government had met its burden on the challenged Powell factor

and that the Department had not rebutted it. The Department

did not object to that finding, which also underpins the District

Court’s decision based on the Report and Recommendation of

Judge Burke. Likewise, the Department has not raised that

point on appeal and thus it is forfeited. See Geness v. Cox, 902

F.3d 344, 355 (3d Cir. 2018) (explaining that an appellant

forfeits an argument in support of reversal if it is not raised in

the opening brief).

15

addressing “federal laws in general,” and the second

addressing “application of federal antitrust laws.” (J.A. at 025

(quoting Highmark, Inc. v. UPMC Health Plan, Inc., 276 F.3d

160, 167 n.1 (3d Cir. 2001)).)

The Magistrate Judge then said that in a non-antitrust

matter, such as this case, the first clause of § 1012(b) asks three

questions (the “first clause requirements”) that must be

answered in the affirmative before reverse-preemption is

appropriate under the MFA. Those questions are: “(1) whether

the state law is enacted ‘for the purpose of regulating the

business of insurance’; (2) whether the federal law does not

‘specifically relat[e] to the business of insurance’; and (3)

whether the federal law would ‘invalidate, impair, or

supersede’ the State’s law.” (J.A. at 026 (citing Humana, 525

U.S. at 307).)

Argued by the federal government, the Magistrate

Judge went on to say “that before the Court applies the above-

referenced three-factor test drawn from [§ 1012(b)], it must

first assess whether an additional, threshold element … has

been met: ‘whether the activity complained of constitutes the

“business of insurance.”’” (J.A. at 026 (emphasis removed)

(quoting Highmark, 276 F.3d at 166 (quoting Sabo, 137 F.3d

at 191)).) He observed that our precedent has “clearly and

repeatedly instructed that … [courts] must first assess whether

the movant has satisfied the threshold element, before applying

[§ 1012(b)]’s three-part test.” (J.A. at 028.) Further, he

rejected the argument that, based on the Supreme Court’s

decisions in U.S. Department of Treasury v. Fabe, 508 U.S.

491 (1993), and Humana Inc. v. Forsyth, 525 U.S. 299 (1999),

our threshold “business of insurance” inquiry is no longer good

law.

16

With that said, the Magistrate Judge recommended the

conclusion that, under our threshold inquiry, the challenged

conduct did not constitute the “business of insurance” and so

was not subject to the reverse-preemption provision of the

MFA. He suggested that, in determining whether the reverse-

preemption provision in § 1012(b) applies, courts should look

at the discrete conduct in question (here, resisting an IRS

summons, as dictated by § 6920), rather than examining how

the ostensibly reverse-preempting provision of state law fits

into the State’s overarching regulatory scheme. He agreed

with the federal government that the conduct at issue in this

case is “fairly characterized as ‘[r]ecord maintenance’ or ‘the

dissemination and maintenance of information, documents,

and communications [maintained by the state.]’” (J.A. at 029

(quoting D.I. 23 at 12-23).) Parsing the language of § 6920, he

determined that the “entire focus is on the type of access that

[the Department] may or may not provide to third parties

(including federal law enforcement officers) regarding a

captive insurer’s confidential information.” (J.A. at 029.) He

thus recommended concluding such conduct does not

constitute the “business of insurance.”

In sum, the recommended holding was that the MFA

does not apply to the particular conduct of the Department now

at issue and, accordingly, that the petition to enforce the IRS

summons should be granted and the motion to quash should be

denied. The Department filed timely objections to the

Magistrate Judge’s Report and Recommendation, and the

District Court overruled them, adopting the Report and

Recommendation, granting the petition to enforce the

summons, and denying the motion to quash. This timely

appeal followed.

17

II. DISCUSSION8

The Department argues, first, that our threshold inquiry

is no longer good law and, second, that even if it remains good

law, the District Court erred in saying it was not satisfied here.

Both of those arguments proceed from a fundamental

misreading of our precedent. Accordingly, before turning to

either argument, we review our holding in Sabo v.

Metropolitan Life Insurance Co., 137 F.3d 185 (3d Cir. 1998),

and our reaffirmance of Sabo in Highmark, Inc. v. UPMC

Health Plan, Inc., 276 F.3d 160 (3d Cir. 2001).

A. Our Threshold Inquiry Precedent

1. Origin and General Principles

In Sabo, we interpreted subsections 1012(a) and

1012(b), as well as the import of the Supreme Court’s

discussion of the MFA in SEC v. Nat’l Sec., Inc. (“National

Securities”), 393 U.S. 453 (1969). We concluded that there is

a “threshold question in determining whether the

antipreemption mandate of . . . § 1012(b) applies,” and that the

8

The District Court had jurisdiction under 26 U.S.C.

§§ 7604(a), 7402(b), and 28 U.S.C. §§ 1340, 1345. We have

jurisdiction pursuant to 28 U.S.C. § 1291. We review for clear

error whether the factual prerequisites for enforcement of an

IRS summons have been met, and we review questions of law

de novo. United States v. Ins. Consultants of Knox, Inc., 187

F.3d 755, 759 (7th Cir. 1999). The issue of reverse-preemption

under the MFA is one of law. Weiss v. First Unum Life Ins.

Co., 482 F.3d 254, 263 (3d Cir. 2007).

18

inquiry is “whether the challenged conduct broadly constitutes

the ‘business of insurance’ in the first place.” Sabo, 137 F.3d

at 189-91. Only when that question is answered in the

affirmative do the “three distinct requirements” from the first

clause of § 1012(b) come into play. Id. at 189. For reverse-

preemption to be appropriate, all three of those “first clause”

requirements must be met: “(1) the federal law at issue does

not specifically relate to the business of insurance; (2) the state

law regulating the activity was enacted for the purpose of

regulating the business of insurance; and (3) applying federal

law would invalidate, impair, or supersede the state law.”9 Id.

In Sabo, we were at pains to demonstrate that the

threshold inquiry – again, whether the challenged conduct

constitutes the “business of insurance” – had a firm foundation

in § 1012(a). The issue presented in Sabo was whether reverse-

preemption under the MFA barred an insurance salesman from

suing his former employer under the Racketeer Influenced and

Corrupt Organization Act, 18 U.S.C. §§ 1961-68, when the

“challenged predicate acts ar[o]se [out] of the defendant’s

9

This is the test applicable in all but antitrust cases. In

antitrust cases, the second clause, or “antitrust clause,” of

§ 1012(b) provides a statutory exemption from antitrust

liability “for activities that (1) constitute the ‘business of

insurance,’ [and] (2) are regulated pursuant to state law,” so

long as they “(3) do not constitute acts of ‘boycott, coercion or

intimidation,’” under § 1013(b). Ticor Title Ins. Co. v. FTC,

998 F.2d 1129, 1133 (3d Cir. 1993). Antitrust issues are not in

play here, but the distinction between antitrust and non-

antitrust cases under the MFA is noteworthy because of the

different treatment the two categories receive under § 1012(b).

19

insurance business.” Sabo, 137 F.3d at 187. The parties’

disagreement focused on “the scope of the ‘insurance business’

covered by [the MFA], and whether it applied to” the conduct

at issue in the dispute. Id. at 187-88. That conduct was a

churning scheme involving the fraudulent trading of insurance

policies, the fraudulent advertising of insurance policies as a

retirement savings plan, and the coercing of employees to

engage in those acts. Id.

We decided that those activities constituted the

“business of insurance,” after analyzing the proper role and

basis for the threshold inquiry. Id. at 188-92. We stated that

“Section [1012(a)] by its terms, affirmatively subjects the

business of insurance to state regulation.” Id. at 189. We then

explained that the MFA took the “further step of proscribing

unintended federal interference of state insurance laws by a

general mandate,” quoting the requirements of the first clause

of § 1012(b). Id. We noted that our preemption analysis would

focus on “the first clause of section 1012(b),” rather than the

second clause because the complaint was not “grounded in

federal antitrust law.” Id. at 189 n.1.

We then analyzed the interplay between § 1012(a) and

§ 1012(b), saying, “[i]f it is determined that the alleged conduct

at issue broadly constitutes the ‘business of insurance,’ and is

therefore subject to state regulation under section 1012(a), the

next issue is whether the anti-preemption mandate of section

1012(b) precludes a federal cause of action.” Id. at 189. We

did not engraft an atextual limitation onto the requirements of

the first clause of § 1012(b). Rather, citing National Securities,

we made it clear that we were relying on the text of § 1012(a)

for the threshold inquiry:

20

The threshold question in determining whether

the antipreemption mandate of 15 U.S.C.

§ 1012(b) applies is whether the challenged

conduct broadly constitutes the “business of

insurance” in the first place. 15 U.S.C.

§ 1012(a). If the contested activities are wholly

unrelated to the insurance business, then the

[MFA] has no place in analyzing federal

regulation because only when “[insurance

companies] are engaged in the ‘business of

insurance’ does the act apply.”

Id. at 190 (quoting National Securities, 393 U.S. at 459–60). We

concluded by observing again that, “[i]f the defendant’s

conduct does not constitute ‘the business of insurance,’ then

the Act simply does not apply and there is no need to confront

preclusion issues under § 1012(b).” Id.

Re-emphasizing the point, and, relying on another

Supreme Court opinion, U.S. Department of Treasury v. Fabe,

we noted that reverse-preemption applies when “the activity in

question constitutes the business of insurance and … the

specific state law was enacted with the ‘end, intention, or aim’

of adjusting, managing, or controlling the business of

insurance.” Sabo, 137 F.3d at 191 (quoting Fabe, 508 U.S. at

505).10

10

The phrase “the specific state law was enacted with

the ‘end, intention, or aim’ of adjusting, managing, or

controlling the business of insurance” derives from the

Supreme Court’s construction of the phrase: “for the purpose

of regulating the business of insurance.” See Fabe, 508 U.S.

at 505 (“The broad category of laws enacted ‘for the purpose

21

After Sabo, we reaffirmed the threshold inquiry in

Highmark. “If the activity does not constitute the ‘business of

insurance,’ then the [MFA] does not apply,” we said.11 276

F.3d at 166 (citing Sabo, 137 F.3d at 190-91). If, however, the

threshold inquiry is satisfied, “we then look to whether

§ 1012(b)” reverse-preempts the federal law in question. Id.

2. The Breadth of the Phrase “Business of

Insurance”

The Supreme Court has provided further guidance on

the meaning of the phrase “business of insurance,” as used in

the MFA. The phrase is undefined in the statute, so the Court

has looked to “the ordinary understanding of that phrase,

illumined by any light to be found in the structure of the Act

of regulating the business of insurance’ consists of laws that

possess the ‘end, intention, or aim’ of adjusting, managing, or

controlling the business of insurance.”) (citing Black’s Law

Dictionary 1236, 1286 (6th ed. 1990)).

11

In Highmark an insurance company sued a rival

seeking injunctive relief and damages for advertisements that

allegedly included misleading statements about the plaintiff’s

insurance, in violation of the Lanham Act, 15 U.S.C.

§ 1125(a)(1)(B). 276 F.3d at 163-64. The defendant moved to

dismiss on two bases: first, that the advertisement did not

substantially affect interstate commerce and, therefore, the

Lanham Act did not apply, and, second, that the Lanham Act

claims were reverse-preempted by the Pennsylvania Unfair

Insurance Practices Act. Id. at 164. The district court denied

the motion to dismiss and entered a preliminary injunction. Id.

We affirmed. Id.

22

and its legislative history.” Grp. Life & Health Ins. Co. v.

Royal Drug Co., 440 U.S. 205, 211 (1979). We do likewise,

looking to how the Supreme Court employed that phrase in

National Securities.

In its opinion there, the Court noted that Congressional

debates surrounding the MFA were “mainly concerned with

the relationship between insurance ratemaking and the antitrust

laws, and with the power of the States to tax insurance

companies,” none of which was then at issue in the case before

it. National Securities, 393 U.S. at 458-59. Accordingly, the

Court analyzed the phrase “business of insurance” in the

broader context of Congress’s reaction to South-Eastern

Underwriters, and, in so doing, found “it [was] relatively clear

what problems Congress was dealing with.” Id. at 459.

“Congress was concerned” with preserving for state regulation

that which had been understood as beyond the Commerce

Clause before South-Eastern Underwriters, specifically, “the

type of state regulation that centers around the contract of

insurance.” Id. at 460.

Having thus set the stage, the Supreme Court identified

the “core of the ‘business of insurance’” as “[t]he relationship

between insurer and insured, the type of policy which could be

issued, its reliability, interpretation, and enforcement[.]” Id. In

addition, National Securities provided several examples of that

“core”: “the fixing of [insurance] rates”; “the selling and

advertising of [insurance] policies”; and the “licensing of

companies and their agents.” Id. National Securities,

however, made clear that the sweep of the “business of

insurance” goes beyond the core to reach “other activities of

insurance companies [that] relate so closely to their status as

reliable insurers that they too must be placed in the same class.”

23

Id. “[W]hatever the exact scope of the statutory term,” the

touchstone remains the impact on the “relationship between the

insurance company and the policyholder.” Id.

The Court later admonished that not everything that

“indirect[ly] [a]ffects” policyholders or “redounds to the[ir]

benefit” in some way falls within the “business of insurance.”

Fabe, 508 U.S. at 508-09 (citing Royal Drug, 440 U.S. at 216-

17). After all, the “statute d[oes] not purport to make the States

supreme in regulating all the activities of insurance

companies[.]” National Securities, 393 U.S. at 459. Thus,

“terms such as ‘reliability’ and ‘status as a reliable insurer’”

cannot “be interpreted” so “broad[ly]” that “almost every

business decision of an insurance company could be included

in the ‘business of insurance.’” Royal Drug, 440 U.S. at 217.

B. Sabo and Highmark Remain Good Law

In this appeal, the Delaware Department of Insurance

argues that our decisions in Sabo and Highmark are no longer

good law, citing three reasons. First, the Department argues

that Sabo conflicts with the Supreme Court’s earlier decision

in Fabe, 508 U.S. 491. Second, it argues that Sabo was

implicitly overruled by a later Supreme Court decision,

Humana Inc. v. Forsyth, 525 U.S. 299. And third, it argues

that our own decisions after Sabo and Highmark conflict with

those two cases. More specifically, the Department says that

the lack of any mention of the threshold inquiry in Suter v.

Munich Reinsurance Co., 223 F.3d 150 (3d Cir. 2000),

represents the true post-Humana precedent of our Court,

replacing Sabo and Highmark. None of those arguments holds

water, and, contrary to each of them, the threshold inquiry

24

prescribed in Sabo and reiterated in Highmark remains the law

of this Circuit.

The Department’s arguments contain two foundational

flaws. First, they misread the origins of the threshold inquiry.

The contention that the threshold inquiry does not derive from

§ 1012(a) is plainly wrong, as demonstrated by the description

we have just given of Sabo. See supra Section II.A.1.12 As

already noted, Sabo expressly cites § 1012(a) when stating that

“[t]he threshold question in determining whether the

antipreemption mandate of 15 U.S.C. § 1012(b) applies is

whether the challenged conduct broadly constitutes the

‘business of insurance’ in the first place.” Sabo, 137 F.3d at

190; see also id. at 189 (“If it is determined that the alleged

12

The Department misunderstands footnote two of

Sabo. We said there “that federal courts have seemingly

disagreed as to the proper analytic inquiry into [MFA]

preclusion[,]” and, therefore, we thought it important “to

discuss our analysis in detail.” Id. at 189 n.2. That footnote

observed that some courts had adopted a three-part test “that

does not require a specific conclusion that the defendant’s

conduct constitutes the business of insurance,” but others had

adopted a four-part test that did require such a specific

conclusion. Id. Our holding that there is a threshold inquiry

deriving from § 1012(a) relied on none of those cases. Indeed,

it would have been difficult to do otherwise, as none of them

relies on § 1012(a) for a threshold inquiry, and no one here

suggests they do. In that context, our statement that “it is

important to discuss our analysis in detail” is more naturally

read as divergence from ‒ not a subscription to ‒ the position

stated in those other cases.

25

conduct at issue broadly constitutes the ‘business of insurance,’

and is therefore subject to state regulation under section

1012(a), the next issue is whether the anti-preemption mandate

of section 1012(b) precludes a federal cause of action.”

(emphasis added)). The quoted language from Sabo speaks for

itself.

Second, as we proceed to discuss now, the Department

perceives jurisprudential conflict where there is none. Those

supposed conflicts are instances where we or the Supreme

Court analyzed MFA reverse-preemption under the first clause

of § 1012(b), focusing on what was at issue in those cases.

Whether reverse-preemption is warranted under the first clause

of § 1012(b) when it is implicated is a separate question from

whether reverse-preemption is implicated in the first place

under § 1012(a).

1. Sabo does not conflict with Fabe

By way of example, the Department wrongly asserts

that Fabe conflicts with Sabo. Fabe stands for the

unremarkable proposition that the first clause of § 1012(b) has

three requirements, but it does not foreclose a threshold inquiry

derived from § 1012(a). In Fabe, the liquidator of an insurance

company brought a declaratory judgment action in federal

court “seeking to establish that [a] federal priority statute [did]

not preempt [an] Ohio law designating the priority of creditors’

claims in insurance-liquidation proceedings.” 508 U.S. at 495.

The federal statute “accord[ed] first priority to the United

States with respect to a bankrupt debtor’s obligations[,]” while

the Ohio statute “confer[red] only fifth priority upon claims of

the United States in proceedings to liquidate an insolvent

insurance company[.]” Id. at 493.

26

Fabe quoted the first clause of § 1012(b) and gave

passing acknowledgment to uncontested points. Fabe, 508

U.S. at 500-01. After that, “[a]ll that [was] left” for analysis,

under the first clause, was “whether the Ohio priority statute

[was] a law enacted ‘for the purpose of regulating the business

of insurance.’” Id.

The Supreme Court’s treatment of that contested point

included analysis akin to our threshold inquiry. The Court first

clearly stated that “the Ohio statute” was “a law ‘enacted for

the purpose of regulating the business of insurance,’ within the

meaning of the first clause of § [1012(b)].” Id. at 505. It then

backtracked, refusing to fully reverse-preempt the federal law

with respect to creditors who were not policyholders, holding

that the state law was “not a law enacted for the purpose of

regulating the business of insurance” to the extent it benefited

such creditors. Id. at 508 & n.8. Additionally, it refused to

hold that the portion of the state law providing for

administrative costs for creditors other than policyholders

reverse-preempted federal law. Id. at 509. It reasoned that the

provision’s “connection to the ultimate aim of insurance [wa]s

too tenuous.” Id. Although pressed by the dissent to justify

such a “compromise holding,” id. at 518 (Kennedy, J.,

dissenting), the majority provided no textual hook for its

holding. See id. at 508-09 & n.8 (arguing that the dissent had

conceded that the statute need not “stand or fall in its entirety”

and observing that the dissent had cited nothing preventing the

majority from finding certain parts of the statute had effected a

reverse-preemption and others had not). Of more importance

for present purposes, it never foreclosed § 1012(a) from

playing the role we have concluded it plays.

27

Simply put, while Fabe focuses on § 1012(b), it is not

irreconcilable with our threshold inquiry or the conclusion that

§ 1012(a) is the source of it.

2. Sabo does not conflict with Humana

Nor does Humana conflict with Sabo or overrule it. In

Humana, insurance policy beneficiaries alleged that an

insurance company engaged in a scheme to hide discounts that

the company had received from a hospital, and that it did so to

prevent the beneficiaries from sharing in the savings. 525 U.S.

at 303-04. The plaintiffs contended that this violated both the

Nevada law regulating insurance fraud and RICO. Id. at 302.

Although the state and federal laws represented “differ[ing]”

“remedial regimes,” the Supreme Court concluded that “RICO

can be applied in this case in harmony with the State’s

regulation,” and, therefore, “the [MFA] does not bar the federal

action.” Id. at 303.

Humana touched only on the first clause of § 1012(b),

without suggesting a rejection of a threshold inquiry under

§ 1012(a). The first sentence of the opinion introduced the case

as one “concern[ing] the regulation of insurance by the states,

as secured by the [MFA], 59 Stat. 33, as amended, 15 U.S.C.

§ 1011 et seq.” Id. at 302. But that same paragraph made it

apparent that the Court was going to limit its discussion solely

to the one requirement of the first clause of § 1012(b) then in

dispute13 ‒ whether RICO “‘invalidate[d], impair[ed], or

13

Recall that the three requirements for application of

MFA reverse-preemption, as set forth in the first clause of

§ 1012(b), are as follows: “(1) the federal law at issue does not

specifically relate to the business of insurance; (2) the state law

28

supersede[d]’ the State’s regulation.” Id. at 302-03. Although

Humana states that § 1012(b) is “the centerpiece of this case,”

id. at 306, it discusses only two of the three “first clause”

requirements, and one of those only in passing, with the

remaining one being assumed to be satisfied. Id. at 307

(“RICO is not a law that ‘specifically relates to the business of

insurance.’ This case therefore turns on the question: Would

RICO’s application to the employee beneficiaries’ claims at

issue ‘invalidate, impair, or supersede’ Nevada’s laws

regulating insurance?”).

That Humana proceeded to examine whether RICO

conflicted with state law without tarrying along the way does

not mean that Humana addressed the existence of a threshold

inquiry derived from § 1012(a). It did not, and thus does not

foreclose it. The Department’s suggestion that Humana sets

out the first clause of § 1012(b) as the exclusive “test for the

[MFA]” preemption ignores what Humana makes plain in

context – that the Court was quickly getting to the heart of the

issue without purporting to write a treatise on every aspect of

the MFA.14 Cf. United States v. Sineneng-Smith, 140 S. Ct.

regulating the activity was enacted for the purpose of

regulating the business of insurance; and (3) applying federal

law would invalidate, impair, or supersede the state law.”

Highmark, 276 F.3d at 166.

14

While we refer to the inquiry derived from Section

1012(a) as a “threshold” one, it need not be addressed in every

case. Sound advocacy may well lead parties to concede or

assume the threshold inquiry has been met, thus allowing them

to address other requirements for MFA reverse-preemption

that may be more readily dispositive. Judicial economy may

29

1575, 1579 (2020) (“[Courts] wait for cases to come to them,

and when [cases arise, courts] normally decide only questions

presented by the parties.”) (discussing the “principle of party

presentation”); In re Permian Basin Area Rate Cases, 390 U.S.

747, 775 (1968) (“[T]his Court does not decide important

questions of law by cursory dicta inserted in unrelated cases.”);

Roebuck v. Drexel Univ., 852 F.2d 715, 738 n.41 (3d Cir. 1988)

(declining appellee’s “invitation to transform what is in

essence stray language and at best no more than dicta into a

binding holding”).

likewise prompt a court to resolve an MFA reverse preemption

question in a similar way. Courts often assume satisfaction of

some analytical steps, where appropriate, to get to the heart of

a matter. See, e.g., Pearson v. Callahan, 555 U.S. 223, 234-43

(2009) (loosening the rigidly ordered two-step analysis of the

qualified immunity inquiry and allowing courts to begin with

either step to prevent the misuse of “substantial expenditure[s]

of scarce judicial resources … [on matters that] have no effect

on the outcome of the case”); United States v. Leon, 468 U.S.

897, 924 (1984) (“There is no need for courts to adopt the

inflexible practice of always deciding whether the officers’

conduct manifested objective good faith before turning to the

question whether the Fourth Amendment has been violated.”);

Strickland v. Washington, 466 U.S. 668, 697 (1984) (“[T]here

is no reason for a court deciding an ineffective assistance claim

to approach the inquiry in the same order or even to address

both components of the inquiry if the defendant makes an

insufficient showing on one.”).

30

3. Sabo does not conflict with Suter

Also contrary to the Department’s assertion, our own

decision in Suter v. Munich Reinsurance Co. does not suggest

there is a conflict between Humana and Sabo, or that Humana

implicitly overrules Sabo. Indeed, Suter mentions neither case.

Suter involved a suit brought in state court by the liquidator of

an insurance company against a German reinsurance company

over an alleged breach of “certain reinsurance treaties.” 223

F.3d at 152. The reinsurance treaties “include[d] arbitration

clauses governed by the United Nations Convention on the

Recognition and Enforcement of Foreign Arbitral Awards.”

Id. Congress enacted a removal provision, 9 U.S.C. § 205, as

a part of an act to enforce that convention (the “Convention

Act”). Id. at 154-55. Relying on those procedural tools, the

defendant first removed the case to district court under 9

U.S.C. § 205, and then tried to both compel arbitration and stay

the district court proceedings pending arbitration. Id. at 152.

The plaintiffs argued for remand on three grounds, two of

which are relevant here: first, that a provision in the

reinsurance treaty waived the defendant’s right to remove and,

second, that the Convention Act and Federal Arbitration Act

(the “FAA”) were reverse-preempted by the MFA. Id. The

district court remanded the case to state court on the first

ground without reaching the plaintiffs’ other arguments or

ruling on the defendant’s motion. Id. After reversing the

district court on the only ground that it examined, we declined

to affirm on the basis of MFA reverse-preemption. We

examined only one of the three requirements of the first clause

of § 1012(b) and found it was not satisfied. Id. at 162. To

begin, we noted that “there is no contention that either the

Convention Act or the FAA ‘specifically relate to the business

of insurance.’” Id. at 160. We briefly identified the remaining

31

requirements of the first clause of § 1012(b) and assumed one

of them away without discussion. See id. at 160-61 (“Thus the

only issues are whether these statutes as applied in the instant

case invalidate, impair or super[s]ede a New Jersey statute that

was enacted for the purpose of regulating the business of

insurance.”); id. at 161 (“For purposes of this decision, we will

assume that [the statutory] provisions were enacted for the

purpose of regulating the business of insurance[.]”). We then

briefly explained why “application of the Convention Act to

th[e] suit does not impair the New Jersey Liquidation Act.” Id.

at 162. Nothing in that analysis overrides Sabo, even if the

approach looked at § 1012(b) without pausing at § 1012(a).

Given Sabo’s status as pre-existing precedent, Suter could not

have overruled Sabo, see Third Circuit I.O.P. 9.1, and there is

no indication that it intended to.

4. The Department’s remaining

arguments

The Department makes two additional points that

warrant brief mention. First, it notes that we are alone in

holding that there is a threshold inquiry derived from

§ 1012(a). Second, it contends that each of the other circuits

that previously used a four-factor test have abandoned it.

Neither point would, of course, overrule Sabo or Highmark,

but they might provide a basis for en banc review if they were

persuasive. Cf. In re Krebs, 527 F.3d 82, 86 (3d Cir. 2008) (a

panel may neither overrule a prior precedential opinion

“because we are no longer persuaded by its reasoning” nor

because “[s]everal of our sister courts of appeals have decided

the … issue” contrary to that precedent). They are not. The

Department identifies no post-Humana precedential opinion of

our sister circuits that engages in legal analysis grappling with

32

(let alone dispensing with) something akin to Sabo’s threshold

inquiry under § 1012(a).

The one pre-Humana case that explicitly parts ways

with Sabo is Autry v. Nw. Premium Servs., Inc., 144 F.3d 1037

(7th Cir. 1998), and it misreads Sabo. Without explanation or

analysis, Autry lumps Sabo in with opinions applying a four-

factor test derived from § 1012(b). Autry, 144 F.3d at 1041.

Hence, the reasons articulated in Autry for rejecting a four-

factor test derived from § 1012(b) are errantly applied to Sabo

because, as we have explained, Sabo’s threshold inquiry

derives from § 1012(a).15

15

Autry declined to find that its own four-part precedent

was no longer good law. In a footnote, the opinion

acknowledges the three-factor test that it recited does not

square with American Deposit Corp. v. Schacht, 84 F.3d 834,

838 (7th Cir. 1996). But Autry suggests that it might be

appropriate to apply the fourth factor later in the MFA analysis:

In Schacht we first addressed whether the state

statute was “enacted ... for the purpose of

regulating the business of insurance.” After

answering that question in the affirmative, we

asked whether the particular activity at issue in

the case was part of the “business of insurance.”

No doubt we took this second step because Fabe

counsels that a statute “need not be treated as a

package which stands or falls in its entirety,”

Fabe, 508 U.S. at 509 n.8, and instead that a state

statute should only displace federal law “to the

extent that it regulates policyholders,” id. at 508.

Because we find that the Illinois statute

33

C. The Threshold Inquiry is Not Satisfied

We now turn to the task of applying the threshold

inquiry. That involves identifying the conduct being

challenged by the party asserting federal supremacy and then

asking if that conduct constitutes the “business of insurance.”

1. The Challenged Conduct is Non-

Disclosure of Records Maintained by

the State Absent a Confidentiality

Agreement

To recap, the federal government brought this summons

enforcement action to force the Department to provide

information related to certain micro-captives. The Department

has steadfastly refused to provide that information without the

federal government first signing a confidentiality agreement.

The Department’s refusal, and that alone, is the challenged

conduct. More specifically, the challenged conduct is the

Department’s insistence that it need not provide documents

and related testimony that are responsive to Request 1 of the

summons. The Magistrate Judge’s Report and

Recommendation, adopted by the District Court, characterized

the conduct in fundamentally the same way, while noting that

the conduct tracks the pertinent exception to the general

regulating premium financing agreements is not

one “enacted ... for the purpose of regulating the

business of insurance,” we need go no further.

Autry, 144 F.3d at 1042 n.3.

34

disclosure proscription in § 6920 of the Delaware Insurance

Code.

The Department proposes that, to define the challenged

conduct for purposes of the threshold inquiry, we should

examine the purpose of § 6920 and how it fits into the State’s

overall regulatory scheme. But that proposal is tantamount to

asking us to skip the threshold inquiry. The Department wants

us to characterize the challenged conduct by asking,

effectively, whether § 6920 was “enacted … for the purpose of

regulating the business of insurance.” Transforming the

threshold inquiry into that post-threshold requirement from the

first clause of § 1012(b) cannot be reconciled with Sabo’s

admonition that those are separate questions. Sabo, 137 F.3d

at 191.

Furthermore, the Department’s proposal is not faithful

to how we went about characterizing the conduct at issue in

Sabo and Highmark for purposes of the threshold inquiry. In

Sabo, we defined the challenged conduct as a “churning

scheme” involving fraudulently trading insurance policies,

fraudulently advertising an insurance policy as a retirement

savings plan, and coercing employees to engage in those

activities. Sabo, 137 F.3d at 187, 191. Although such conduct,

if it occurred, would violate state law, no reference was made

to state law in characterizing that conduct. Id. at 191-92. In

Highmark, the plaintiff alleged that a rival’s advertisements

included misleading statements about the plaintiff’s insurance,

ostensibly running afoul of the Pennsylvania Unfair Insurance

Practices Act. Highmark, 276 F.3d at 163-64. We

characterized “the action complained of” as “the advertising”

or the “advertising practices of the parties,” with no mention of

the state law. Id. at 166. Thus, in keeping with Sabo and

35

Highmark, we reject the contention that defining the

challenged conduct for purposes of the threshold inquiry

entails examining the purpose of § 6920 and how it fits into

Delaware’s overall regulatory scheme.

2. The Challenged Conduct Does Not

Constitute the Business of Insurance

The Department’s refusal to provide documents and

testimony responsive to Request 1 of the summons is not the

“business of insurance.”16 As an initial matter, it is plainly not

the “core of the ‘business of insurance.’” See National

Securities, 393 U.S. at 460 (“The relationship between insurer

and insured, the type of policy which could be issued, its

reliability, interpretation, and enforcement – these [are] the

core of the ‘business of insurance.’”). It also cannot reasonably

be understood as “[an]other activit[y] of insurance companies

[that] relate[s] so closely to [their] status as reliable insurers

that [it] must be placed in the same class.” Id. It stands, rather,

16

The Report and Recommendation indicated the

parties were generally in agreement that, if the petition were

granted, the IRS would get both the documents and the

testimony. The Magistrate Judge noted that the Department

made a passing argument that the federal government forfeited

its ability to get testimony. But he rejected that argument as

being without legal support and that rejection was adopted by

the District Court in its overall endorsement of the Report and

Recommendation. The Department does not mention the

forfeiture argument before us and, thus, we do not address it.

See Geness, 902 F.3d at 355 (supra at note 10).

36

somewhat removed from the “relationship between the

insurance company and the policyholder.” Id.

The Department nevertheless presses the argument that,

even if the challenged conduct is its adherence to the strictures

of § 6920 in the face of an action to enforce Request 1 of the

summons, such conduct constitutes the “business of

insurance.” That conclusion follows, the Department says,

because the confidentiality provision at issue deals with

materials submitted in connection with the licensure of would-

be captive insurers and examinations of already-approved

captive insurers “for the purpose of determining the solvency

and safety of insurers, and for the protection of its

policyholders.” (Answering Br. at 38.) If § 6920 does not

reverse-preempt the IRS’s summons authority, the Department

claims, then applicants and already-approved captive insurers

will be less forthcoming with the Department. The Department

therefore contends that affirming the District Court will

indirectly endanger those who are insured. By that route, the

Department reasons that its adherence to § 6920 should be

placed in the category of the “business of insurance.”

For that argument to hold water, however, we must

accept that affirming the District Court would lead to a change

in behavior by captive insurers (or their managers) that would

reduce the reliability of captive insurers. That is a contention

that cannot survive scrutiny. As an initial matter, the

substantive requirements for licensure and continued

permission to operate under certificates of authority issued by

the Department is not altered by our affirmance of the District

Court’s ruling. The Department has the authority to obtain

documents it requires for licensure and subsequent

examinations and can impose consequences on companies that

37

will not provide them. See, e.g., 18 Del. Code Ann. §§ 6903,

6908, 6909.17 Simply put, the Department will be no less

17

Although no case has been cited to us construing any

of these provisions of the Delaware Insurance Code, it seems

clear on their face that they endow the Department with such

powers. For example, one provision provides in part: “Before

receiving a certificate of authority, an applicant captive

insurance company shall file with the Commissioner a certified

copy of its organizational documents, a statement under oath

of its president or other authorized person showing its financial

condition, and any other statements or documents required by

the Commissioner.” 18 Del. Code Ann. § 6903(c)(1). It,

further, indicates that the Department has the authority not to

approve the certificate in the first instance if its filings do not

comply with Delaware Captive Law. See id. § 6903(f) (“If the

Commissioner is satisfied that the documents and statements

that such captive insurance company has filed comply with the

provisions of this chapter, the Commissioner may grant a

certificate of authority authorizing it to do insurance business

in this State….”). As previously mentioned, captive insurance

companies are generally examined triennially to determine,

among other things, their “ability to fulfill [their] obligations

and [their] compliance with the provisions of this chapter.” 18

Del. Code Ann. § 6908. The Department may “suspend or

revoke” a captive insurance company’s certificate of authority,

if, “upon examination, hearing or other evidence,” the

Department finds that the company has “refus[ed] or fail[ed]

to submit … any … report or statement required by law or by

lawful order of the Commissioner” or “fail[ed] otherwise to

comply with the laws of” Delaware. 18 Del. Code Ann.

§ 6909.

38

entitled to the information it currently receives to license

captive insurance companies than it has previously been. The

same is true of the Department’s entitlement to information to

determine whether already-licensed captive insurance

companies should be allowed to continue to operate.

Moreover, according to the Department and Amici, the

information sought here is as legally obtainable by a direct

summons or subpoena to the captive insurance companies (or,

perhaps, to their managers) as a summons directed to the

Department. Accepting those arguments on their own terms,

insurance companies will have no plausible reason to withhold

information from the Department that turns on the outcome of

this case. That is, we are being asked to accept that, but for the

potential availability of the novel argument that § 6920

reverse-preempts the IRS’s summons authority, a prospective

or existing captive insurer will intentionally withhold required

information from the Department.

But if a captive insurer is so well informed about the

IRS’s enforcement powers and defenses against them that it

thinks of MFA reverse-preemption in this context, such a

company is almost certainly aware of the obvious threat of a

direct IRS summons or subpoena. And it must also be aware

that being less than forthcoming with the Department risks

foregoing or losing a certificate of authority to operate as an

insurer. In short, it is hard to see the causal connection the

Department is trying to draw. If enforcement of the summons

is not the but-for cause of a company’s changing its

transparency (or lack thereof) with the Department, then the

Department is in the same position regardless of how we

decide the present dispute. And if that is so, then affirming the

District Court will neither undermine the insurer-insured

39

relationship nor the insurer’s reliability as an insurer.

Accordingly, we reject the Department’s argument that its

adherence to § 6920 constitutes the “business of insurance.”

III. CONCLUSION

For the forgoing reasons, the District Court’s order will

be affirmed.

40

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.

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