# United States Tax Court

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URL: https://www.frixlaw.com/law-library/documents/agency%3Atax-court%3Af74043051db287bf

## Record

- **Collection:** Agency decision
- **Document type:** Agency decision

## Text

United States Tax Court
T.C. Memo. 2025-25
GENIE R. JONES, ET AL., 1
Petitioners
v.
COMMISSIONER OF INTERNAL REVENUE,
Respondent
__________
Docket Nos. 17165-19, 17169-19,
17177-19, 17178-19,
17187-19, 17201-19,
17205-19, 17206-19.

Filed March 25, 2025.

__________
Philip Garrett Panitz and Matthew J. Jacobs, for petitioners.
Nancy M. Gilmore, Harry J. Negro, Bradley C. Plovan, Aaron M. Bailey,
Mary Ann Waters, and Lee H. Gyomlai, for respondent.
TABLE OF CONTENTS
MEMORANDUM FINDINGS OF FACT AND OPINION ..................... 3
FINDINGS OF FACT .............................................................................. 5
I.

STW transitions from distributor to manufacturer. ....................... 5

II.

STW makes initial contacts with Planning Associates. .................. 6

1 Cases of the following petitioners are consolidated herewith: Clear Sky
Insurance Co., Inc., Docket No. 17169-19; Steven C. Hoover and Sandra L. Medlin,
Docket No. 17177-19; Ray Dallago and Mark P. Butzko, Docket No. 17178-19; Richard
J. Shor and Theodosia E. Shor, Docket No. 17187-19; Jeffrey D. Chase and Lisa R.
Chase, Docket No. 17201-19; Robert C. Maxson and Sherry A. Maxson, Docket No.
17205-19; and Chris Ballew, Docket No. 17206-19.

Served 03/25/25

2
[*2] III. STW authorizes Planning Associates to conduct a
feasibility study. ............................................................................... 8
A.

Rivelle performs the actuarial analysis and
recommends premiums. .......................................................... 10

B.

Allgood prepares the comparative analysis of Rivelle’s
recommended premiums. ........................................................ 15

IV. STW moves forward with the captive insurance program
but retains traditional commercial insurance coverage. .............. 16
V.

CSI joins the OMNI reinsurance pool............................................ 21

VI. CSI begins its short-lived insurance operations. .......................... 24
VII. CSI makes an advance to Shor. ..................................................... 24
VIII. STW discontinues the CSI Program. ............................................ 25
IX. CSI reorganizes. ............................................................................. 27
X.

IRS audits STW and CSI, and litigation ensues. .......................... 28

OPINION ................................................................................................ 29
I.

Jurisdiction ..................................................................................... 29

II.

Burden of Proof ............................................................................... 30

III. The Taxation of Insurance Companies and Transactions—A
Primer ............................................................................................. 31
IV. The CSI Program did not constitute insurance for federal
income tax purposes. ...................................................................... 32
A.

CSI did not distribute risk. ..................................................... 33
1.

There was a circular flow of funds. ................................. 36

2.

The policies were not arm’s-length contracts. ................ 37

3.

OMNI did not charge actuarially determined
premiums. ........................................................................ 38

4.

Rev. Rul. 2002-89 does not apply. ................................... 40

3
[*3] B.

V.

The CSI Program was not insurance in the commonly
accepted sense. ........................................................................ 41
1.

CSI was not operated as an insurance company. ........... 42

2.

Some of the policies are likely not valid and
binding. ............................................................................ 44

3.

Premiums were not reasonable nor the result of an
arm’s-length transaction. ................................................ 45

Payment made by STW to CSI was not an ordinary and
necessary business expense. .......................................................... 47

VI. The advance from CSI to Shor was a constructive dividend,
not a loan. ....................................................................................... 48
VII. Conclusion ....................................................................................... 50

MEMORANDUM FINDINGS OF FACT AND OPINION
NEGA, Judge: These consolidated cases involve a “microcaptive”
insurance arrangement. 2 During 2015 and 2016 the individual
petitioners were shareholders of Sani-Tech West, Inc. (STW), a
subchapter S corporation with a principal place of business in Camarillo,
California. From December 2015 to December 2016, STW participated
in a captive insurance program and deducted as an insurance premium
the payment made to Clear Sky Insurance Co., Inc. (CSI), a captive
insurer incorporated in Montana and owned by STW’s executive officers.
Electing the alternative (and much more generous) tax regime available
to certain small insurance companies under section 831(b), CSI excluded
2 A captive insurance company is a corporation whose stock is owned by a small
number of shareholders, and which handles all or a part of the insurance needs of its
shareholders or their affiliated entities. See Caylor Land & Dev., Inc. v. Commissioner,
T.C. Memo. 2021-30, at *8 n.4 (citing Harper Grp. v. Commissioner, 96 T.C. 45, 46 n.3
(1991), aff’d, 979 F.2d 1341 (9th Cir. 1992)). A “microcaptive” insurer is a captive
insurance company that elects the alternative tax structure provided for under section
831(b).

Unless otherwise indicated, statutory references are to the Internal Revenue
Code, Title 26 U.S.C. (Code), in effect at all relevant times, regulation references are
to the Code of Federal Regulations, Title 26 (Treas. Reg.), in effect at all relevant times,
and Rule references are to the Tax Court Rules of Practice and Procedure.

4
[*4] from its income the purported insurance premium received.
Because the deduction reduced STW’s taxable income by the amount
paid to CSI, the further exclusion of that amount from CSI’s taxable
income meant a reduction in their total federal income tax liability.
Concerned that the Internal Revenue Service (IRS) would rebuff
its attempt to characterize the amount paid to CSI as payment for
insurance because of a lack of risk distribution, CSI sought to achieve
risk distribution by pooling its risks with those of other unrelated
captive insurers. To that end, CSI attempted to cede to a risk pool, in
this case OMNI Insurance Co. (OMNI), a portion of the risk it had
assumed from STW. CSI then reinsured its pro rata share of the pooled
risk through a quota share retrocession arrangement with OMNI. 3
When respondent denied the claimed deductions and exclusions
from income and determined deficiencies in petitioners’ federal income
tax for the 2015 and 2016 tax years (tax years at issue), they filed
Petitions with this Court, seeking a review of his determinations. The
main issues are (1) whether CSI could make a section 831(b) election to
exclude the purported insurance premiums from its income and
(2) whether STW was entitled to deduct those payments. 4 At their roots,
3 We will refer to the microcaptive insurance arrangement, consisting of (1) the

purported insurance arrangement between CSI and STW, (2) the purported
reinsurance arrangement between CSI and OMNI, and (3) the quota share
retrocession arrangement, collectively as the CSI Program.

Respondent determined accuracy-related penalties under section 6662(a),
(b)(6), and (i) for tax years 2015 and 2016. Section 6662(a) and (b)(6) imposes a penalty
equal to 20% of any portion of an underpayment of tax required to be shown on a return
that is attributable to a “disallowance of claimed tax benefits by reason of a transaction
lacking economic substance (within the meaning of section 7701(o)) or failing to meet
the requirements of any similar rule of law.” Section 7701(o) codifies the “economic
substance” doctrine, providing for a conjunctive test whereby a transaction is treated
as having economic substance only if (1) the transaction changes the taxpayer’s
economic position in a meaningful way (apart from federal income tax effects) and
(2) the taxpayer has a substantial purpose (apart from federal income tax effects) for
entering into the transaction.
4

The 20% penalty under section 6662(a) and (b)(6) is increased to 40% when any
portion of an underpayment is attributable to a “nondisclosed noneconomic substance
transaction.” See § 6662(i). For this purpose, a “nondisclosed noneconomic substance
transaction” means any portion of a transaction described in section 6662(b)(6)—i.e., a
transaction lacking economic substance (within the meaning of section 7701(o)) or
failing to meet the requirements of any similar rule of law—with respect to which the
relevant facts affecting the tax treatment are not adequately disclosed in the return
nor in a statement attached to the return. § 6662(i)(2).

5
[*5] both issues turn on whether the CSI Program constitutes
“insurance” for federal income tax purposes. We conclude that the CSI
Program did not constitute “insurance” for federal income tax purposes
because (1) CSI did not achieve risk distribution and (2) the CSI
Program did not resemble insurance in the commonly accepted sense.
FINDINGS OF FACT
Richard Shor founded STW in 1992 and served as its president
and chief executive officer until 2020. Sherry Maxson joined STW in
1992 and, like Shor, worked there until 2020. When Shor originally
hired Maxson, her duties were primarily to handle the phones, make
purchases, and perform other administrative office work. Maxson was
“work[ing] the office,” and Shor was “work[ing] the field,” making direct
contact with customers, procuring sales, and completing deliveries.
Maxson would eventually assume greater responsibilities at STW,
serving as its chief operating officer and vice president of operations
during the tax years at issue. Besides Shor and Maxson, no other STW
shareholder had an executive role at the company.
I.

STW transitions from distributor to manufacturer.

Since its founding, STW has been a distributor of high-purity
process components, including tubing, filters, gaskets, stainless steel
fittings, and hose assemblies. STW’s distribution operation consisted of
buying plastic tubing and other parts from manufacturers and reselling
them to pharmaceutical and biotech companies for use in their research
and production lines.
By the early 2010s the pharmaceutical industry had begun to
shift away from reusable “stainless steel capital equipment” to more
cost-effective, efficient, and disposable single-use products. Shor and
Maxson would propel STW’s growth by supplying the demand for singleuse products at a time when single-use products were new in the
pharmaceutical industry.
The Court has yet to decide whether the transactions in a microcaptive case
lacked economic substance within the meaning of section 7701(o)(1). Nor has the Court
addressed whether a taxpayer “adequately disclosed” a microcaptive transaction. In
the recent microcaptive cases where these questions were unavoidable, the Court
deferred ruling on the matter to request and duly consider additional briefing on the
applicability of section 7701(o). See Patel v. Commissioner, T.C. Memo. 2024-34,
at *3 n.5; see also Royalty Mgmt. Ins. Co. v. Commissioner, T.C. Memo. 2024-87, at *54.
We will, therefore, address respondent’s penalty determinations in a separate opinion.

6
[*6] In 2012 or 2013 Shor and Maxson established SaniSure, Inc.
(SaniSure), a wholly owned subsidiary of STW. SaniSure was to be
STW’s “manufacturing arm,” specializing in single-use components and
assemblies, including tubing, filters, clamps, stir bars, and bespoke
items designed to customer specifications. SaniSure manufactured
some single-use products from scratch using raw materials and
assembled others from premade parts.
The creation of SaniSure changed STW’s operational focus from
distribution to manufacturing, which had a much higher profit margin.
Through SaniSure, STW manufactured components primarily for large
pharmaceutical companies, including Amgen and Bayer. SaniSure’s
single-use products were popular with STW’s customers because they
were pre-sterilized and eliminated the need to sterilize reusable
equipment repeatedly. Users could insert SaniSure’s pre-sterilized
products where needed and discard them after use, saving time and
improving production efficiency.
II.

STW makes initial contacts with Planning Associates.

STW sterilized 80 to 85% of its single-use products before
delivering them to customers. 5 But STW did not sterilize its products
in house. Instead, it contracted with unaffiliated third parties—often a
company called “Sterigenics”—to sterilize its products with gamma
radiation.
The Sterigenics facilities were in Ontario and Covina, California,
roughly 100 miles from STW’s facilities in Camarillo and Oxnard,
California. At the start of 2015 STW transported approximately two
shipments to Sterigenics per week for sterilization. By 2016 STW was
transporting three to four shipments to Sterigenics per week.
After Sterigenics sterilized the products, an STW employee
picked them up at Sterigenics and transported them to STW’s facilities.
Although Sterigenics certified that the products were properly
sterilized, STW employees performed quality inspections to ensure that
sterility had not been compromised. After inspection, STW employees
separated the products for shipment to customers. STW used thirdparty carriers—typically United Parcel Service—to ship sterilized
products to its customers. The products were shipped Free On Board
Origin, which meant that STW was off the hook for damage caused while
5

SaniSure.

From here on, unless otherwise indicated, references to STW include

7
[*7] in transit from its facilities to its customers. But, if a customer
received contaminated products, the customer could return them to
STW.
STW’s customers were generally satisfied with its products,
returning less than one percent of the products received. Maxson
attributes the high level of customer satisfaction and low level of product
returns to STW’s procedures for inspecting products, acknowledging
that the procedures worked well.
There were only a few instances where a customer claimed a
package from STW was damaged. Most of the time, the damage was due
to mishandling by the customer or the common carrier, not due to a
packing issue at STW. Damage claims from customers were not
frequent enough nor monetarily significant enough for STW to seek
additional insurance coverage solely for those damages. And though
some of the purchase orders STW received from its customers had
stipulations making STW liable for losses incurred because of late
delivery, no customer has ever sued STW for losses caused by late
delivery of products. Further, in 2014, STW’s liability for late deliveries
was limited to the customer’s refusal of the orders.
STW, for some time, transported assemblies to and from
Sterigenics using a pickup truck. The assemblies were packed in boxes
and secured with stretch wrap. That worked most of the time. But, on
two occasions in 2014, a box containing sterilized products flew off an
STW truck in transit from Sterigenics to an STW facility, destroying its
contents. Because shipments between Sterigenics and STW were
works-in-progress, STW, not its customers, bore the burden of a loss of
such shipments. STW had never suffered such a loss before or since. To
avoid delay and replace the lost assemblies, STW incurred higher
manufacturing and sterilization costs.
After the incidents, Shor and Maxson spoke with their insurance
broker, Eichberg Associates, about filing a claim for the losses suffered.
Eichberg told them that their insurance policy with their then insurer,
The Hartford (Hartford), did not cover the first incident but suggested
that STW might recover up to the cost of raw materials for the second
incident. Before the incidents, STW had never filed an insurance claim
for a lost shipment of work-in-progress. And in the end, it did not file a
claim with Hartford for either incident. STW solved the problem of
boxes falling off its open flatbed trucks by buying a fully enclosed box
truck.

8
[*8] Despite not filing a claim, Shore and Maxson spoke with a
Hartford representative. They laid out some scenarios for the Hartford
representative and sought coverage for potential risks inherent in those
scenarios. The Hartford representative informed them that the risks
were “unknown” and that Hartford did not provide the coverage they
wanted. So, they sought coverage elsewhere.
Shore and Maxson sought insurance coverage from Sentry
Insurance. Shore asked Sentry about insuring their “unknown” risks,
and Sentry told him it could cover some but not all of the risks. STW
would later replace Hartford with Sentry. The insurance purchased
through Sentry would have covered any losses incurred were STW’s
products to, once again, fly out of its trucks.
Though Shor considered the products lost in 2014, with a total
sale value of roughly $117,000, “small potatoes,” he would have the
Court believe that similar misfortunes could cost STW its multimilliondollar customer accounts. Maxson took a similar position.
Shor and Maxson discussed their purported concerns with STW’s
attorney, Bob Sternberg, and STW’s accountant, Martin Marrietta, who
suggested that STW consider captive insurance. Sternberg and
Marrietta introduced Shor to multiple captive insurance managers,
including John Capasso, president of Captive Planning Associates
(Planning Associates). In November 2014, Shor met with Capasso to
discuss possibly forming a captive insurance company to address his and
Maxson’s purported concerns. We do not believe that Shor’s and
Maxson’s purported concerns about STW’s “unknown” risks were the
motivating reasons for pursuing captive insurance.
III.

STW authorizes Planning Associates to conduct a feasibility
study.

Planning Associates is a one-stop shop for captive insurance
planning; it advises businesses and their owners on captive insurance,
forms and manages captive insurance companies for its clients, and
manages a risk pool in which the captive insurance companies
participate. At Planning Associates, forming a captive insurance
company begins with due diligence, which involves reviewing the
prospective client’s business, including the business’ financial
statements and insurance coverages, and preparing a preliminary
report on captive insurance.
Planning Associates prepares a
preliminary report to, in part, ensure that the prospective client

9
[*9] understands captive insurance. If the prospective client proceeds
to the next phase, Planning Associates commissions a feasibility study
on the formation of a captive insurance company.
The feasibility study provides prospective clients with premium
determinations for potential captive insurance policies and a
comparative analysis of those determined premiums with market
premiums for traditional commercial insurance policies. After receiving
the feasibility study, the prospective client either accepts or declines the
formation of a captive insurance company.
For each feasibility study, Planning Associates requests that the
client provide several documents, including two to three years of tax
returns, financial statements, and insurance policies. But Planning
Associates does not conduct the Feasibility Study itself. Instead,
Planning Associates hires third-party actuaries to calculate premiums
for potential captive insurance policies and an unaffiliated insurance
broker to prepare a comparative analysis of those premiums with
market premiums for traditional commercial insurance policies.
Consistent with its standard practice, Planning Associates
prepared a preliminary report on captive insurance companies
(Preliminary Report) for STW. The Preliminary Report covered, among
other things, the tax benefits of operating a small captive insurance
company that makes the section 831(b) election, explaining that the
section 831(b) election limits taxation of the captive’s income to its
investment income, thereby allowing the captive to accumulate
underwriting profits tax free. 6 The Preliminary Report also explained
that the section 831(b) election is available only for insurers with annual
written premiums not exceeding $1.2 million, 7 adding that the
limitation on written premiums “allows the . . . insured(s) the ability to
allocate premium levels to be paid in, or not, annually.” We find that

6 Underwriting profit is the money left over after an insurer has collected
premiums, paid out claims, and covered its operating expenses. It does not include
investment income earned on premiums.

7 For tax years after 2016, Congress raised the premium ceiling from $1.2
million to $2.2 million and added diversification requirements for making a valid
section 831(b) election. See Consolidated Appropriations Act, 2016, Pub. L. No. 114113, div. Q, § 333(a)(1), (b)(1), 129 Stat. 2242, 3106–08 (2015). Because these changes
are effective only for tax years beginning after December 31, 2016, they are not
relevant for the tax years at issue. See id. § 333(c), 129 Stat. at 3108.

10
[*10] the tax benefits influenced petitioners’ ultimate decision to form a
microcaptive insurance company.
Besides illuminating the structure, functions, and benefits of
captive insurance arrangements, the Preliminary Report recommended
19 lines of coverage and associated policy limits for CSI to offer STW.
Planning Associates based its recommendations, in part, on its review
of STW’s tax returns, and financial statements. 8 The total premiums
charged for the recommended coverage lines were projected to be
between $750,000 and $1,150,000, well within the $1.2 million
limitation on written premiums. No underwriting or actuarial analysis
was conducted to support the Preliminary Report’s recommended
coverage lines or projected premiums.
After receiving the Preliminary Report in early September 2015,
Shor and Maxson discussed it internally and agreed to explore captive
insurance further. STW would later retain Planning Associates to
prepare a feasibility study. By late October 2015, Planning Associates
had prepared a draft feasibility study (First Draft Feasibility Study).
The draft included a proposed list of 19 coverage lines for STW to
consider buying from CSI and recommended premiums at which CSI
would offer coverage. The listed coverage lines were nearly identical to
those suggested in the Preliminary Report. The only difference was the
removal of three coverage lines proposed in the Preliminary Report and
the addition of two new ones. Rivelle Consulting Services (RCS), an
actuarial consulting firm, produced the recommended premiums for the
19 coverage lines.
A.

Rivelle performs the actuarial analysis and recommends
premiums.

At Planning Associates’ request, STW engaged RCS to provide
actuarial services in connection with its exploration of captive
insurance. Marn Rivelle founded RCS and performed the actuarial
analysis (or “ratemaking analysis”) for the feasibility study. His task
was to conduct an actuarial review of STW and, based on that review,
determine a premium for each proposed line of coverage separately.
Rivelle had no direct communications with STW personnel. He
based his analysis on information gathered by Planning Associates. As
8 It is unclear whether Planning Associates had copies of STW’s then-existing
commercial insurance policies before delivering a copy of the Preliminary Report to
STW.

11
[*11] part of its information-gathering effort for the feasibility study,
Planning Associates requested several documents from STW, including
three years of its tax returns and financial statements, copies of its
commercial insurance policies, and its five-year loss history. Planning
Associates provided Rivelle STW’s tax returns, loss history, and
financial statements, but he did not receive STW’s complete commercial
insurance policies for his analysis. Providing STW’s five-year loss
history was easy enough: It had none. STW had no relevant claims
history for the five years preceding Rivelle’s ratemaking analysis.
Rivelle considered several accepted actuarial methods for setting
insurance premiums. He ultimately settled on the “frequency times
severity” method, an actuarial method insurers use to set premiums
that reflect the expected number of claims during a given period
(frequency) and the average cost of a claim (severity). At its core, the
logic underlying the “frequency times severity” method is rather simple.
When an insurer knows the frequency and severity of claims, it can
estimate the amount it expects to pay on those claims (that is, the
expected losses) and, with some adjustments, price premiums to cover
expected losses and operating costs.
Though the underlying logic may be simple, the devil always lies
in the details. Rivelle had to estimate how often he would anticipate
STW’s filing a claim for each line of coverage. Just one problem: STW
did not have a significant claims history that would be “reliably
predictable on its own.” Because Rivelle was unaware of any publicly
available benchmark or database, he improvised. He relied on nonpublic
frequency estimates he had previously used for about ten other captive
insurance companies he felt had risk profiles similar to STW’s. Using
his nonpublic, proprietary frequency data and professional judgment, he
estimated how often STW would file a claim under each line of coverage
(in other words, how often STW would experience a loss “event” covered
under each line of coverage).
The next step for Rivelle was to determine the severity of a claim
under each proposed line of coverage. For that, Rivelle focused on the
“probable maximum loss.” The “probable maximum loss” under a
coverage line is the covered loss STW would suffer in a likely “worstcase scenario.” He capped the “probable maximum loss” for each
coverage line at its policy limit. He reasoned that the loss resulting from
a likely worst-case scenario would “very likely” exceed the policy limit,
but because CSI is only on the hook to pay for covered losses up to the
policy limit, the probable maximum loss cannot exceed the policy limit.

12
[*12] With his frequency and severity variables on hand, Rivelle
calculated the expected loss under each line of coverage for a one-year
policy period spanning 2015 and 2016. To these expected loss estimates,
he added a premium enhancement (namely, a “contingency margin”) to
protect CSI in case actual losses suffered exceeded expected losses. He
selected a 100% contingency margin (actuarial jargon for he doubled the
expected losses) based, in part, on his review of some actuarial literature
on homeowners catastrophe insurance and the findings of a then fiveyear-old report produced for the Delaware Insurance Department in
which he examined the appropriate contingency margin for roughly 30
to 35 captive insurers.
To complete his ratemaking analysis, Rivelle had one last thing
to consider. Like other insurance companies, a captive insurer has
operating costs and must price premiums to cover its bills. Rivelle
estimated that CSI’s total operating costs would be $75,000, which he
apportioned pro rata between the proposed lines of coverage based on
the expected losses. Thus, the recommended premium for each coverage
line was the postenhancement expected loss (again, this is just the
expected loss doubled) plus the pro rata share of operating costs.
Rivelle prepared two sets of recommendations. Incorporated into
the First Draft Feasibility Study, his initial set of recommended
premiums for the 19 proposed lines of coverage were as follows:
Severity/
Policy Limit

Expected
Loss

Recommended
Premium

Accounts Receivable

$500,000

$22,222

$47,991

Administrative Action

1,000,000

54,054

116,735

Business Interruption

1,000,000

26,667

57,589

Catastrophe Excess

1,000,000

23,529

50,814

Cost of Re-work

1,000,000

31,746

68,559

Cyber Liability

1,000,000

7,273

15,706

Deductible Reimbursement

1,000,000

8,000

17,277

Defective Materials or Workmanship

1,000,000

31,746

68,559

500,000

6,000

12.958

Financial Reporting E&O

1,000,000

12,000

25,915

Intellectual Property Infringement

1,000,000

14,999

32,392

Employee Replacement

1,000,000

13,333

28,795

Coverage

Pollution Liability

13
[*13] Legal Expense Reimbursement

1,000,000

30,303

65,442

Mechanical & Electric Breakdown

1,000,000

22,222

47,991

Product Liability

1,000,000

15,000

32,394

Reputational Risk

1,000,000

70,028

151,232

Supply Chain Interruption

1,000,000

36,364

78,531

Transit Risk

1,000,000

33,333

71,987

Directors & Officers

1,000,000

11,111

23,996

$469,930

$1,014,863

Total

After Rivelle prepared his initial recommended premiums for the First
Draft Feasibility Study, Capasso shared the draft with Shor and Maxson
in late October 2015. A few days later Capasso met with Shor and
Maxson to discuss the draft. During the meeting, Shor and Maxson
raised concerns about some of the proposed coverage lines.
To address their concerns, in early November 2015, Capasso
arranged a conference call with Kevin Allgood, a senior vice president at
HUB International. Rivelle was not present. Roughly a week later,
Capasso emailed Rivelle, attaching a document with comments on his
actuarial analysis. Most comments blessed Rivelle’s recommended
premiums with a terse “ok.” But a couple urged that his premiums were
“too high.” Commenting on Rivelle’s pricing of the Administrative
Action coverage, Capasso wrote: “[P]remium seems too high—they are
not regulated by the FDA and no ee’s (PEO).” And on Rivelle’s
recommended premium for the Transit Risk coverage, he wrote:
“[P]remium too high—most shipments are covered by customer—they
still have some internal transit risk.” Capasso also instructed Rivelle to
remove some lines of coverage and add others.
Rivelle made the changes, eliminating Product Liability coverage
and adding five new lines of coverage. And though there were no
changes to the policy limits for any line of coverage and the 100%
contingency margin and $75,000 estimated operating costs remained
the same, Rivelle revised some of his prior recommendations, suggesting
that he adjusted the frequency variable for some lines of coverage. In
particular, Rivelle decreased his recommended premium for the
Administrative Action coverage from $116,735 to $42,882 and the
Mechanical & Electrical Breakdown coverage from $47,991 to $23,823.
But he made no significant changes to his recommended premium for
the Transit Risk coverage.

14
[*14] After the changes and revisions, Rivelle priced 22 proposed lines
of coverage, and the recommended premiums increased from $1,014,863
in the First Draft Feasibility Study to $1,116,107 in the Second Draft
Feasibility Study:
Frequency

Severity/Policy
Limit

Expected
Loss 9

Recommended
Premium

Accounts Receivable

23 years

$500,000

$22,222

$47,646

Administrative Action

50 years

1,000,000

20,000

42,882

Advertising Liability

63 years

1,000,000

16,000

34,305

Audit Risk

60 years

1,000,000

16,667

35,735

Business Interruption

38 years

1,000,000

26,667

57,175

Catastrophe Excess

43 years

1,000,000

23,529

50,449

Cost of Re-work

32 years

1,000,000

31,746

68,066

Cyber Liability

138 years

1,000,000

7,273

15,593

Deductible
Reimbursement

125 years

1,000,000

8,000

17,153

Pollution Liability

83 years

500,000

6,000

12,865

Financial Reporting
E&O

333 years

1,000,000

3,000

6,432

Impaired Or Damaged
Goods

28 years

1,000,000

36,364

77,966

Intellectual Property
Infringement

67 years

1,000,000

14,999

32,160

Inventory in Custody of
Others

80 years

1,000,000

12,500

26,801

Employee Replacement

75 years

1,000,000

13,333

28,588

Coverage

9 To calculate the expected loss under each line of coverage using the
“frequency times severity” method, Rivelle multiplied the respective frequency and
severity variables for each line of coverage. For example, because Rivelle estimated
that STW would suffer a loss covered by the Administrative Action coverage once every
50 years, he anticipated it would file a claim under that line of coverage 1/50 times
during the one-year coverage period. He then multiplied 1/50 by $1,000,000 (the
probable maximum loss covered under the Administrative Action coverage) to
calculate the expected loss under the Administrative Action coverage ($20,000).

We take this opportunity to note that some of Rivelle’s expected loss
calculations are slightly off. For example, the expected loss under the Catastrophe
Excess coverage should be $23,256 (1/43 multiplied by $1,000,000), not $23,529.

15
[*15] Legal Expense

33 years

1,000,000

30,303

64,972

Loss of Distributorship

14 years

1,000,000

70,004

150,093

Mechanical & Electric
Breakdown

90 years

1,000,000

11,111

23,823

Reputational Risk

14 years

1,000,000

70,028

150,145

Supply Chain
Interruption

28 years

1,000,000

36,364

77,966

Transit Risk

30 years

1,000,000

33,333

71,469

Directors & Officers

90 years

1,000,000

11,111

23,823

$520,554

$1,116,107

Reimbursement

Total

Planning Associates incorporated the revised premiums into an updated
draft feasibility study (Second Draft Feasibility Study). The Second
Draft Feasibility Study does not explain Rivelle’s reasons for revising
his initial recommendations.
B.

Allgood prepares the comparative analysis of Rivelle’s
recommended premiums.

Planning Associates hired Allgood to “market test” Rivelle’s
revised premiums. He was to prepare a comparative analysis of Rivelle’s
recommended premium for each proposed coverage line with prevailing
market premiums for similar coverage in traditional commercial
insurance markets, hopefully identifying the most cost-effective option.
Between late September and November 2015, Capasso exchanged
emails with Allgood about the comparative premium analysis. He
provided Allgood with a chart summarizing Rivelle’s ratemaking
analysis in mid-November. Two days later, Allgood emailed Capasso a
draft of his analysis (HUB Market Analysis). Five days after that, he
emailed him the final version, consisting of a chart showing actuarial
premiums, as determined by Rivelle, and market premiums and
deductibles, as determined by Allgood, accompanied by Allgood’s
comments.
In the HUB Market Analysis, Allgood sought to determine the
prevailing minimum market premium for each of the 23 proposed
coverage lines. Unsurprisingly, he could not provide market premiums
for coverage that was not readily available in traditional commercial
insurance markets. For these nontraditional coverage lines (9 out of

16
[*16] the 23), he set the minimum “market” premium equal to Rivelle’s
recommended premium and almost invariably commented, “NonStandard Coverage; Unable to Price.” Allgood did not question whether
Rivelle’s recommended premiums for these “non-standard” coverage
lines were actuarially valid; he accepted them at face value and did not
perform an actuarial or underwriting study of his own.
Despite accepting Rivelle’s recommended premiums as the
minimum “market” premium for several “non-standard” coverage lines
(namely those he was unable to price), Allgood provided a guesstimate
of market premiums for a few “non-standard” coverage lines. Though
these coverage lines (5 out of the 23) were also “non-standard,” they were
not absent in traditional commercial insurance markets. But his
guesstimates usually came with qualifications. Commenting on the
accuracy of one of his guesstimates, Allgood cautioned that “much more
underwriting data [were] need[ed] to confirm.”
Allgood did not obtain insurance quotes for any of the proposed
lines of coverage, including those readily available in traditional
insurance markets. But not for lack of trying. He requested that STW
submit insurance applications to commercial insurers for quotes, yet
STW completed no applications. Without quotes, Allgood relied on his
professional experience and conversations with other HUB employees to
gauge the prevailing market premiums.
His estimated market
premiums totaled $1,086,037, slightly less than Rivelle’s total
recommended premium of roughly $1.1 million.
IV.

STW moves forward with the captive insurance program but
retains traditional commercial insurance coverage.

In late November 2015 Planning Associates provided STW with a
final version of the feasibility study and an annotated copy of Allgood’s
“market test” analysis. The feasibility study incorporated Rivelle’s
revised actuarial analysis and recommended that STW establish a
stand-alone, pure captive insurance company. The recommendation
was based partly on the thought that a captive insurer would allow STW
“to segregate and establish reserves independent of the operating
company.”
The feasibility study also discussed the federal income tax
treatment of captive insurers. It recommended that STW establish a
microcaptive taxable only on its investment income under section
831(b). It explained that “[f]or a captive insurance arrangement to be

17
[*17] valid, it must engage in the spreading of risks among many
insureds, what is known as ‘risk distribution.’”
The feasibility study claimed that, under Rev. Rul. 2002-89,
2002-2 C.B. 984, “if the Captive derives at least 50% of its premiums
(not risk) from unrelated third-party insureds, then risk distribution has
been met.” It recommended that CSI participate in a “risk pool facility”
to fall within the safe harbor, noting that Planning Associates commonly
uses “the pooling services” offered by OMNI, a risk pool owned by one of
Planning Associates’ affiliates.
Yet, though Planning Associates recommended establishing CSI
as a stand-alone, pure microcaptive insurance company, it advised STW
not to ditch traditional commercial insurers. Instead, it recommended
retaining coverage from traditional commercial insurers and using a
captive to supplement rather than immediately replace them.
Foretelling a continuing role for traditional commercial insurance in
STW’s risk management toolkit, Planning Associates touted captive
insurance as providing STW an “opportunity to develop [a] surplus,
which can be used to fund additional commercial coverage in the future.”
STW took the advice and retained commercial insurance coverage from
traditional insurers like Hartford, though later replaced Hartford with
Sentry, another traditional commercial insurer.
The Hartford policies, consisting of a Commercial General
Liability policy, a Commercial Package policy, and an Excess Liability
policy, had a one-year coverage period (January 14, 2015 to 2016). STW
paid $61,571 in premiums for the Commercial General Liability policy,
which included coverage for Bodily Injury and Property Damage,
Personal and Advertising Injury, Medical Payments, and an
endorsement covering Employee Benefits Injury. The Commercial
Package policy cost $21,435 in premiums and provided coverage for,
among other things, Business Personal Property, Automobile, and
Expediting Expenses. 10 The Excess Liability policy cost $14,398 in
premiums and, in effect, increased the policy limits on three primary
policies written with Hartford (namely, General Liability, Products
Liability, and Automobile Liability).
STW allowed the insurance policies purchased from Hartford to
expire without renewal on January 14, 2016. From the expiration date
10 The auto insurance premium was subject to adjustment during the year
because of changes in the cars covered.

18
[*18] to January 14, 2017, it changed its commercial insurance carrier
to Sentry. STW purchased five lines of coverage from Sentry:
Commercial Property Coverage, Crime and Fidelity Coverage,
Commercial Auto Coverage, Commercial Excess/Umbrella Coverage,
and Commercial General Liability Coverage, which covered Bodily
Injury and Property Damage, Personal and Advertising Injury Liability,
Medical Payments, and Employee Benefits Liability.
The Commercial Property Coverage from Sentry was subject to a
blanket coverage limit of $6.5 million. The Commercial General
Liability Coverage was subject to a General Aggregate Limit of
$6 million (other than Products Completed Operations), a Products
Completed Operations Aggregate Limit of $4 million, a Personal and
Advertising Injury Limit of $2 million, and occurrence limits of up to
$2 million. The initial total estimated premium for the coverage Sentry
provided was $67,626. Overall, the policies purchased from Sentry
covered more risk exposures and were cheaper than the Hartford
policies.
But Shor and Maxson wanted to supplement their traditional
commercial insurance coverage. On December 8, 2015, Shor gave
Planning Associates the green light to form a captive insurance
company. That same day, Shor signed a Captive Application Certificate
of Authority for submission to the State of Montana on behalf of CSI,
listing him and Maxson as CSI’s directors. Several days later, Planning
Associates filed Articles of Incorporation for CSI, which the Montana
Commissioner of Securities & Insurance approved shortly thereafter.
The feasibility study recommended forming the captive in
Montana partly because Montana law imposes “no investment
restrictions on pure Captives, except if such investment(s) threatens the
solvency or liquidity of the Captive.” Planning Associates prepared an
Investment Policy Statement to formalize CSI’s process for investing its
capital, surplus, and reserves. The Investment Policy Statement,
among other things, placed limits on how much of CSI’s assets may be
invested in fixed-income debt obligations, providing that “[t]he exposure
of the Captive assets to any one (1) obligation, other than securities of
the U.S. government, shall not exceed ten percent (10%) of the market
value of the Captive assets.” As Secretary of the Investment Committee
created to oversee CSI’s investments, Shor would later sign and approve
the Investment Policy Statement in late December.

19
[*19] The day before Shor approved the Investment Policy Statement,
CSI entered into a stock purchase agreement with Shor and Maxson to
meet Montana’s minimum $250,000 capital requirement for a pure
captive. Shor agreed to purchase 80% of CSI’s stock for $200,000, and
Maxson agreed to purchase the remaining 20% for $50,000. They both
borrowed the funds for the capital contribution from STW.
Around this time, Planning Associates prepared a Strategic
Business Plan for CSI, identifying the 23 proposed lines of coverage as
the primary policies to be underwritten by CSI and setting premiums
(totaling $1,116,107) based on Rivelle’s revised actuarial analysis. As
CSI’s debut grew nearer, Planning Associates’ personnel emailed Shor
and Maxson about the next steps, but Shore had last-minute doubts
about STW’s paying over $1 million for captive insurance. The following
conversation ensued via email on December 22, 2015: 11
•

At 11:06 AM, Moira Cava, Planning Associates’ accountant, sent
an email to Shor and Maxson explaining the necessary steps to
begin CSI’s insurance operation and the flow of funds between
STW, CSI, and OMNI: STW would transfer $1,116,107 in
premiums to CSI; CSI would then transfer $562,870 to OMNI;
and OMNI would transfer $476,495 back to CSI the first week of
January 2016.

•

At 11:48 AM, Shor responded to Cava, asking her who OMNI was
and why it was retaining funds. He further stated that regarding
the amount he wished STW to pay for the CSI policies, “[w]e are
closer to $800K that we can fund with.”

•

At 11:56 AM, Capasso wrote back to Shor, reminding him that
OMNI is the reinsurance pool. Capasso also assured Shor that he
would look “at eliminating a few coverages to get closer to the
$800k in premiums.”

•

At 11:59 AM, Shor responded to Capasso, asking whether
Capasso had been able to get “comps on ALL of the coverages.”

•

At 12:07 PM, Debra Gaglioti, Planning Associates’ chief operating
officer, responded to Shor, offering to eliminate six lines of
coverage to bring the total premium down to $813,256. She

11 Emails from Shor bear time stamps in Pacific Standard Time, and emails
from Moira Cava, Debra Gaglioti, and Capasso bear time stamps in Eastern Standard
Time. All time stamps have been converted to Eastern Standard Time for clarity.

20
[*20] eliminated coverage for Accounts Receivable, Advertising
Liability, Audit Risk, Financial Reporting E&O, Employee
Replacement, and Reputational Risk.
•

At 12:08 PM, Capasso responded to Shor’s 11:59 AM email, saying
he had provided the “revised worksheet to everyone a couple of
weeks ago.”

•

At 12:44 PM, Shor responded to Gaglioti’s 12:07 PM email. He
approved her proposed changes, agreed to proceed with $813,256
as the total premium, and asked for a new breakdown of the flow
of funds between STW, CSI, and OMNI.

•

At 12:47 PM, Gaglioti responded to Shor and informed him that
Planning Associates could send revised instructions “tomorrow
morning.”

•

At 12:48 PM, Shor responded to Gaglioti, saying: “We are sending
you the $250,000 [capital contribution] today.”

•

At 1:35 PM, Gaglioti confirmed the changes and sent an
attachment showing the removed lines of coverage and their
associated premiums.

About a week later, STW paid CSI $813,256 in premiums. CSI
provided STW with two insurance policies: General Liability 12 and
Directors & Officers Liability. Both policies were dated December 31,
2015, and were effective from that date. The General Liability policy
includes 15 different coverages, and the Directors & Officers policy
covers a single type of professional liability exposure (thus a total of 16
different coverages). Each line of coverage is subject to an individual
limit, which for all but one of the 16 lines of coverage is $1 million; for
Pollution Liability coverage, the individual limit is $500,000. The two
policies are subject to a shared liability limit of $1.5 million. The policies
had a one-year coverage period (December 31, 2015 to 2016) and were
priced as follows:

12 The General Liability policy includes lines of coverage that could be better
described as “property” coverage. Consequently, the “general liability” nomenclature
used by CSI does not resemble the types of coverage included in a commercial general
liability policy. Of the 15 lines of coverage in the General Liability policy, 9 cover
STW’s property and 6 cover STW’s liability exposures.

21
[*21]

Policy Type

Coverage

Premium

Administrative Action
Business Interruption
Catastrophe Excess
Cost of Re-work
Cyber Liability
Deductible Reimbursement
Pollution Liability
General Liability

Impaired or Damaged Goods

$789,433

Intellectual Property Infringement
Inventory in Custody of Others
Legal Expense Reimbursement
Loss of Distributorship
Mechanical & Electrical Breakdown
Supply Chain Interruption
Transit Risk
Directors & Officers Liability
Total

23,823
$813,256

On December 31, 2015, a few days after STW paid CSI the
premiums, the Montana Commissioner of Securities & Insurance issued
a Certificate of Authority to CSI, granting it permission to do business
as a pure captive insurance company. That same day, Planning
Associates drafted CSI’s Accounting and Financial Policies and
Procedures (Financial Operations Manual), outlining, among other
things, CSI’s policy on issuing loans and advances. Effective December
31, 2015, the Financial Operations Manual prohibited the issuance of a
loan or advance during CSI’s first year of operation, explicitly providing
that “[t]he Company may not issue a loan in its first year of operation.”
V.

CSI joins the OMNI reinsurance pool.

OMNI managed a risk pool for participating captives. On
December 31, 2015, OMNI, CSI, and STW entered into the OMNI
Insurance Company Risk Pool Participation Agreement.
From
December 31, 2015 through 2016, OMNI had 31 participating captives,
including CSI. OMNI’s participating captives wrote insurance policies
directly to businesses in exchange for premiums.

22
[*22] The participating captives cede to OMNI a portion of the risk
insured through their direct written policies and, as consideration, pay
OMNI a reinsurance premium equal to about 51% of the premiums
received from insured businesses. 13 Each participating captive then
insures a portion of the total risk ceded to OMNI on a pro rata basis,
calculated by dividing the premiums the captive paid to OMNI by the
total premiums OMNI received from all participating captives. OMNI
pays each captive a retrocession premium for taking on a pro-rata share
of the pooled risk.
For each coverage OMNI reinsured, the participating captive
acted as the primary or fronting insurer. OMNI would only be required
to pay the “Reinsurance Layer” of any claim, that is, the amount of the
claim exceeding a specified minimum percentage of the primary policy
limit. To cover the “Reinsurance Layer” of a claim (for which the pool
was liable), each participating captive kept 12.5% of the reinsurance
premium paid to OMNI in the OMNI Retrocession Trust (OMNI Trust),
a trust account managed by OMNI.
If the OMNI Trust has insufficient funds to pay the pool’s
liabilities, OMNI’s only recourse is to make a cash call on its participants
for additional funds. Should a participating captive not comply with the
cash call, OMNI could sue the captive or report it to the appropriate
regulators of the domicile in which the captive is licensed. Regulators
could threaten to place the captive in receivership and take control of its
assets.
As a participant in the OMNI reinsurance pool, CSI ceded to
OMNI a portion of the risk it had assumed from STW and, on December
31, 2015, paid OMNI a reinsurance premium of $409,693, an amount
equal to 50.38% of the total premiums CSI charged STW. Consistent
with the overall scheme, CSI then insured a pro-rata share of pooled risk
in exchange for a retrocession premium equal to the reinsurance
premium it had just paid, less a $52,000 deposit into the OMNI Trust
13 Reinsurance is an agreement between an initial insurer (the ceding
company) and a second insurer (the reinsurer), under which the ceding
company passes to the reinsurer some or all of the risks that the ceding
company assumes through the direct underwriting of insurance
policies. Generally, the ceding company and the reinsurer share profits
from the reinsured policies, and the reinsurer agrees to reimburse the
ceding company for some of the claims that the ceding company pays
on those policies.

Trans City Life Ins. Co. v. Commissioner, 106 T.C. 274, 278 (1996).

23
[*23] and required fees of $7,875 to OMNI and $7,500 to Planning
Associates. OMNI paid the retrocession premium to CSI on January 4,
2016, four days after CSI paid OMNI the reinsurance premium. And
although $52,000 was placed in the OMNI Trust to pay CSI’s share of
claims against the risk pool, CSI controlled the investment of those
funds and was entitled to reclaim any unused funds.
The OMNI Reinsurance Agreement, which governed the
reinsurance of CSI’s risk through the OMNI risk pool, specified the
reinsurance layer of each coverage offered by CSI and reinsured by
OMNI in percentage terms:
Coverage

Reinsurance Layer

Reinsurance
Premium

Administrative Action

between 15% and 100%

$28,345

Business Interruption

between 25% and 100%

25,843

Catastrophe Excess

between 37.5% and 100%

16,043

Cost of Re-work

between 50% and 100%

15,043

Cyber Liability

between 20% and 100%

8,280

Deductible Reimbursement

between 15% and 100%

11,338

Pollution Liability

between 15% and 100%

8,504

Impaired or Damaged Goods

between 20% and 100%

41,400

Intellectual Property Infringement

between 10% and 100%

25,053

Inventory in Custody of Others

between 25% and 100%

12,114

Legal Expense Reimbursement

between 15% and 100%

42,946

Loss of Distributorship

between 20% and 100%

79,699

Mechanical & Electric Breakdown

between 10% and 100%

18,558

Supply Chain Interruption

between 25% and 100%

35,241

between 37.5% and 100%

22,728

between 10% and 100%

18,558

Transit Risk
Directors & Officers
Total

$409,693

The reinsurance layers were set based on a study prepared by
Rivelle in 2014 (OMNI Actuarial Study). Because participating captives
in the OMNI Pool issued different policies with different policy limits,
the OMNI Actuarial Study was Rivelle’s attempt to identify and
recommend the appropriate percentage splits between the “primary”
and reinsurance layers based on the underlying policy limits. Rivelle’s

24
[*24] analysis relied on a nonpublic, proprietary database of liability
claims for insurable risks against California school districts; he did not
provide the data in the OMNI Actuarial Study or any other document.
Rivelle looked at 20,869 claims and stratified them based on the amount
of the claims to determine how many claims would fall below a certain
policy limit.
In calculating the reinsurance premiums, Rivelle used a
contingency margin of 1.5 to allocate expected losses and premiums
between the “primary” and reinsurance layers, which has the effect of
decreasing the expected losses covered by the reinsurance layer while
increasing the premiums allocated to that layer. The OMNI Actuarial
Study did not explain Rivelle’s choice of contingency margin.
VI.

CSI begins its short-lived insurance operations.

At all relevant times, Shor and Maxson owned CSI. But they did
not directly manage its operations. Instead, they hired Planning
Associates to provide captive management services for CSI. Planning
Associates’ responsibilities as manager included performing quarterly
reviews, arranging board meetings, carrying out “general maintenance,”
and preparing and filing tax returns.
The CSI policies purchased by STW were claims-made policies;
CSI only had to pay claims made during the coverage period (December
31, 2015 to 2016) and for 15 business days thereafter. STW made no
claims against any CSI policy during the coverage period. But, in 2016,
CSI received a cash call from OMNI, notifying CSI that OMNI had
approved a $150,000 reinsurance claim to be paid by the OMNI Trust
and that CSI was responsible for paying $4,674.64 of the pooled claim.
Planning Associates directed CSI to make the payment.
VII.

CSI makes an advance to Shor.

During the tax years at issue STW’s headquarters and principal
place of business was on Flynn Road in Camarillo, California (Flynn
Property). But as STW transitioned into manufacturing, it needed a
larger “clean room” to house its rapidly growing orders. It planned to
lease a building close to the Flynn Property to house the larger clean
room. STW found a suitable building and leased warehouse space on
Calle Suerte in Camarillo (Calle Suerte Property).
In 2016 Shor created Dosia, LLC (Dosia), a wholly owned
company, to facilitate the purchase of the Calle Suerte Property. The

25
[*25] total project cost was $4,820,000: $4 million to purchase the
property, $809,542.50 in construction and remodeling costs, and
$10,457.50 in professional fees. Dosia applied for and received a Small
Business Administration (SBA) loan to purchase the Calle Suerte
Property. The SBA loan totaled $1,928,000 (or 40% of the project’s total
cost), while $2,410,000 came from a loan from Citizens Business Bank.
The SBA loan required Dosia to contribute 10% of the total project
cost, or $482,000. Shor did not borrow the funds from STW because STW
had been having cashflow problems and issuing a loan would have
“strapped the company.” So Shor asked Capasso about borrowing the
$400,000 from CSI. Shor requested the loan despite Capasso’s advising
him that regulators generally do not authorize captives to issue loans
within the first two years of operation.
At Shor’s request, Capasso contacted the Montana Captive
Insurance Examiner to see whether Montana would approve the loan.
The Montana Captive Insurance Examiner advised Planning Associates
that “the loan should not exceed the amount of . . . earned surplus” and
that the loan must have “a specific stated maturity date.”
On August 11, 2016, CSI’s board of directors consented to a
proposal to lend Shor $400,000 at 1.5% interest; the loan was an
unsecured personal loan and was to be used to purchase the Calle Suerte
Property. The Montana Commissioner of Securities approved the
$400,000 loan to Shor on August 12, 2016. Shor issued a promissory
note to CSI a few days later for the $400,000 loan. The note had no
payment terms except that the unpaid principal balance plus interest
was due on August 15, 2017. Shor contributed the loan proceeds to
Dosia and, through Dosia, bought the Calle Suerte Property for
$4 million. STW continued to lease warehouse space at the Calle Suerte
Property, paying its rent to Shor through Dosia.
Shor paid off the loan in 2020 after he had sold STW and was
“flush with cash.” He did not make any payments on the loan before
2020 because it slipped his mind, and CSI did not demand repayment.
As president of CSI, Shor was responsible for demanding repayment
from himself on CSI’s behalf.
VIII. STW discontinues the CSI Program.
On November 14, 2016, Planning Associates contacted Shor and
Maxson about renewing the captive insurance policies for the following
year. A week later, Shor informed Planning Associates that STW would

26
[*26] not renew the policies with CSI and would allow CSI to become
dormant.
It is odd for STW to terminate the captive insurance arrangement
after only one year of coverage; the feasibility study advised that
“captive participation must be perceived as no less than a five (5) to
ten (10) year commitment.” At trial, Shor testified that the decision not
to renew the CSI policies was based on a reassessment of STW’s liabilityrelated concerns. He claimed that he and Maxson realized that some of
STW’s “unknown” risks were manageable without a captive insurer.
This realization supposedly occurred because of an incident
involving Amgen and a third-party supplier. Amgen and the supplier
had executed a substantial supply contract, so when the supplier’s
products failed sterility testing, Shor assumed Amgen would take
adverse action against the supplier. But Amgen did not. Instead,
Amgen worked with the supplier to resolve the issue, and the supplier
continued to provide Amgen with products.
Shor testified that he considered Amgen’s response “eye-opening.”
So he discussed the Amgen incident with Bayer, one of STW’s large
pharmaceutical customers. The discussion with Bayer ostensibly
proved productive. STW and Bayer executed a supply agreement which
provided that Bayer would install personnel in STW’s facility if
problems arose.
Shor testified that on the basis of the experience with Bayer, he
concluded that STW’s customers viewed their relationship with STW as
more of a “partner[ship]” than merely a “supplier and consumer”
relationship and that the relationship was “more important than” any
“single incident.” He testified that if STW produced defective products,
its customers would work with it to address the issue rather than take
punitive action, thereby diminishing the need to purchase captive
insurance from CSI.
We do not find Shor’s testimony about their motivating reason for
declining to renew the CSI policies credible. First, it is unclear how
Amgen’s cooperation (or the cooperation of any of STW’s customers)
vitiates the need for Catastrophe Excess coverage, Pollution Liability
coverage, Intellectual Property Infringement coverage, Transit Risk
coverage, or Mechanical & Electrical Breakdown coverage, just to name
a few. The Catastrophe Excess coverage, for example, covers losses
incurred due to “[d]amages from natural disasters such as earthquakes,

27
[*27] floods, tornados and hurricanes.” Surely, continued coverage for
losses caused by natural disasters remains valuable even after securing
the understanding and cooperation of STW’s largest customers.
Second, during 2016, Shor and Maxson were entertaining offers
from potential buyers seeking to acquire STW. The offer calculations
were based on multiples of STW’s EBITDA (Earnings Before Interest,
Taxes, Depreciation, and Amortization). Shor believed STW was worth
more than the offers made because he knew its EBITDA was low partly
because of the captive insurance expense.
So Shor sought to “get more profits back into the business” and
“drive up [its] EBITDA” by cutting costs, including insurance costs.
Shor understood that eliminating the captive insurance expense would
increase STW’s EBITDA, thereby increasing its sale price. STW was
eventually sold to a private equity firm in 2020. We believe the most
plausible explanation for STW’s terminating the captive insurance
arrangement was not a reassessment of its insurance needs but Shor’s
and Maxson’s desire to maximize its sale price.
IX.

CSI reorganizes.

On July 3, 2017, Shor and Maxson adopted a Plan of Complete
Liquidation and Dissolution of CSI. A few months later, CSI notified
the Montana Commissioner of Securities and Insurance of its intent to
dissolve.
On October 26, 2017, CSI filed Articles of Dissolution for Profit
Corporation with the State of Montana. The following day, the Montana
Commissioner of Securities & Insurance issued a letter verifying CSI’s
dissolution and confirming that it had terminated CSI’s Certificate of
Authority.
On October 30, 2017, OMNI and CSI executed a Form of
Separation Agreement to the OMNI Retrocession Trust, terminating
their relationship. They also executed a Withdrawal Notice directing
the OMNI Retrocession Trust to pay CSI $47,325.36, the remaining
amount of its deposit in the OMNI Trust.
Shor and Maxson had a change of heart at some point about
liquidating CSI. So on November 21, 2017, CSI filed Articles of
Revocation of Voluntary Dissolution with the State of Montana. That
same day, the Montana secretary of state promptly issued a
Certification Letter certifying that CSI filed its Articles of Revocation of

28
[*28] Voluntary Dissolution with an effective date of November 21,
2017.
A week later, CSI filed Articles of Amendment for Captive
Insurance Corporation with the Montana secretary of state, changing
its type of business from Captive Insurance Company to General for
Profit Corporation.
The Montana secretary of state issued a
Certification Letter that CSI filed Articles of Amendment changing its
name to Clear Sky Holdings, Inc., a domestic profit corporation. To date,
Clear Sky Holdings, Inc., continues to exist as a Montana corporation.
The premiums and capitalization paid to CSI are still held by Clear Sky
Holdings, Inc.
X.

IRS audits STW and CSI, and litigation ensues.

For the 2015 tax year, STW claimed $813,256 in deductions for
amounts paid to CSI, deducting them as insurance premiums that were
ordinary and necessary business expenses. The individual petitioners
reported flowthrough income and deductions from STW on their 2015
income tax returns. Respondent examined STW’s 2015 tax return and
disallowed the deductions, determining that the payments STW made
to CSI were not for insurance and were not ordinary and necessary
business expenses.
CSI reported the amounts paid by STW on its Form 1120–PC,
U.S. Property and Casualty Insurance Company Income Tax Return, for
tax years 2015 and 2016. It treated $31,279 of the amounts paid by STW
as earned premiums for 2015 and $781,977 as earned for 2016. CSI
excluded those amounts from taxable income on its Form 1120–PC for
tax years 2015 and 2016 under section 831(b). Respondent disallowed
CSI’s claimed exclusion on the ground that it was not an insurance
company, and therefore, its income was not excludable premium income.
CSI disclosed the captive insurance transaction by filing Form
8886, Reportable Transaction Disclosure Statement, with its 2016 Form
1120–PC. None of the individual petitioners disclosed the captive
insurance transaction on their income tax returns.
In Notices of Deficiency dated June 26, 2019, respondent
determined the following deficiencies in petitioners’ federal income tax:

29
[*29]

Petitioner

Tax Year

Deficiency

2015

$1,812

2015

4,692

2016

265,924

Steven C. Hoover & Sandra L. Medlin

2015

1,133

Ray Dallago & Mark Butzko

2015

11,238

2015

257,560

2016

168,458

Jeffrey D. Chase & Lisa R. Chase

2015

3,867

Robert C. Maxson & Sherry A. Maxson

2015

82,285

Chris Ballew

2015

3,798

Genie R. Jones
Clear Sky Insurance Company, Inc.

Richard J. Shor & Theodosia E. Shor

CSI and the individual petitioners filed timely Petitions with this
Court, seeking judicial review of respondent’s determinations. 14
OPINION
I.

Jurisdiction

When a Notice of Deficiency issued to an S corporation
shareholder includes adjustments to S corporation items and other
items unrelated to the S corporation, 15 we have jurisdiction to determine
the correctness of all adjustments in the shareholder-level deficiency
proceeding. See Johnson v. Commissioner, 160 T.C. 18, 28 (2023) (citing
Winter v. Commissioner, 135 T.C. 238, 245–46 (2010)). We, therefore,
have jurisdiction to redetermine the correctness of respondent’s

14 The individual petitioners resided in the following cities and states when
they filed their respective Petitions: Genie R. Jones resided in Edmond, Oklahoma;
Steven C. Hoover and Sandra L. Medlin resided in Sarasota, Florida; Ray Dallago and
Mark Butzko resided in Las Vegas, Nevada; Richard J. Shor and Theodosia E. Shor
resided in Moorpark, California; Jeffrey D. Chase and Lisa R. Chase resided in
Greenwood, Indiana; Robert C. Maxson and Sherry A. Maxson resided in Eloy,
Arizona; and Chris Ballew resided in Thousand Oaks, California.

15 An S corporation is governed under the rules in subchapter S of chapter 1 of
subtitle A of the Code; S corporations are not generally subject to federal income tax
but, like partnerships, are conduits through which income flows to their shareholders.
See § 1366; Gitlitz v. Commissioner, 531 U.S. 206, 209 (2001) (“Subchapter S allows
shareholders of qualified corporations to elect a ‘pass-through’ taxation system under
which income is subjected to only one level of taxation.”).

30
[*30] adjustments to petitioners’ flowthrough shares of STW’s income
and any other determinations in the Notice of Deficiency.
II.

Burden of Proof

Generally, we presume that the Commissioner’s determinations
in a Notice of Deficiency are correct, and the taxpayer bears the burden
of proving that the determinations are incorrect. See Rule 142(a)(1); see
also Welch v. Helvering, 290 U.S. 111, 115 (1933); Rockwell v.
Commissioner, 512 F.2d 882, 885–87 (9th Cir. 1975), aff’g T.C. Memo.
1972-133. The taxpayer also bears the burden of proving entitlement to
any deductions claimed. See INDOPCO, Inc. v. Commissioner, 503 U.S.
79, 84 (1992). Consequently, a taxpayer claiming a deduction on a
federal income tax return must demonstrate that the deduction is
provided for by statute and must maintain records sufficient to enable
the Commissioner to determine the correct tax liability. See § 6001;
Hradesky v. Commissioner, 65 T.C. 87, 89–90 (1975), aff’d per curiam,
540 F.2d 821 (5th Cir. 1976); Treas. Reg. § 1.6001-1(a).
Under section 7491(a), if a taxpayer provides credible evidence
concerning a factual issue relevant to ascertaining the taxpayer’s tax
liability and complies with certain other requirements, the burden of
proof shifts to the Commissioner on the factual issue. 16
The resolution of the issues presented in these cases does not turn
on which party has the burden of proof. 17 Ordinarily, when each party
has satisfied its burden of production, the party supported by the weight
of the evidence will prevail; thus, a shift in the burden of proof has real
significance only in the event of an evidentiary tie. See Knudsen v.
Commissioner, 131 T.C. 185, 189 (2008), supplementing T.C. Memo.
2007-340. We do not perceive an evidentiary tie in these cases and can
resolve the issues on the preponderance of the evidence. See id.; Schank
v. Commissioner, T.C. Memo. 2015-235, at *16.

16 Section 7491 is relevant only as to factual issues; it is irrelevant as to legal
issues. See Nis Fam. Tr. v. Commissioner, 115 T.C. 523, 538 (2000).

17 Petitioners assert that the burden of proof shifts to respondent under section
7491(a). Respondent retorts that petitioners have failed to meet the substantiation
requirement of section 7491(a) and, therefore, failed to shift the burden of proof.
Because we can decide these cases on the preponderance of the evidence and need not
rely on who bears the burden of proof to resolve any of the issues presented here, we
do not address whether section 7491(a) shifts the burden of proof to respondent.

31
[*31] III.

The Taxation of Insurance Companies and Transactions—
A Primer

Businesses manage risk in several ways. See 1 Daniel W. Gerber
et al., New Appleman on Insurance Law Library Edition § 1.01[3] (2021)
(enumerating common methods used to manage risk). A business may,
for example, manage its risks through self-insurance. Self-insurance is
“a risk management method whereby a person or entity calculates a sum
of money to be set aside periodically in a reserve [fund] for possible
future use as a payment for a potential future loss.” Id. In effect, a
business that manages risk through self-insurance assumes the risk of
loss and saves for rainy days to cover the loss should it materialize.
Rather than assume the risk of loss, a business may manage its
risk by transferring it to someone else for consideration through an
insurance contract. Ordinarily, under such contracts, the insured
makes a payment or a series of periodic payments, and, in exchange, the
insurer assumes a portion or all of the insured’s risk by compensating
the insured for covered losses. See Christopher C. French & John F.
Dobbyn, Insurance Law in a Nutshell 2 (6th ed. 2021).
Importantly, these methods of managing risk have disparate tax
consequences. Amounts set aside in a loss reserve fund as a form of selfinsurance are not deductible. See Harper Grp., 96 T.C. at 46. But
amounts paid for insurance (usually called an insurance premium) are
deductible under section 162(a) as ordinary and necessary expenses
when paid or incurred in connection with a trade or business. Treas.
Reg. § 1.162-1(a). Thus, the distinguishing line between self-insurance
schemes and insurance arrangements is important. This line becomes
blurred when the insured and the insurer are related, as is ordinarily
the case with captive insurers. 18 In those cases a purported payment for
insurance to an affiliated company may resemble self-insurance, raising
doubts about its deductibility.
Further complications arise when the captive insurer is a socalled “microcaptive.” Although the Code permits the insured to deduct
insurance premiums paid as ordinary and necessary trade or business
expenses, it also requires the insurer to include premiums received in
taxable income. Insurance companies—other than life insurance
18 A captive insurer is a licensed insurance company formed to insure the risks
of its parent corporation and affiliates. See Constance A. Anastopoulo, Taking No
Prisoners: Captive Insurance as an Alternative to Traditional or Commercial
Insurance, 8 Ohio St. Entrepren. Bus. L.J. 209, 213 (2013).

32
[*32] companies—are generally subject to the same tax structure as
other corporations and, therefore, include premium income in taxable
income. See §§ 11, 831(a). But, certain small insurance companies,
including “microcaptive” insurers, may elect an alternative tax
structure. See § 831(b). Specifically, for the tax years at issue an
insurance company that makes a valid election under section 831(b) and
has annual written premiums of $1.2 million or less is subject to tax only
on its investment income, excluding its premium income from taxation.
See § 831(b)(1) and (2).
To make a valid section 831(b) election, a captive entity must be
an “insurance company.” See § 831(b)(2)(A). For this purpose, an
insurance company is a “company more than half of the business of
which during the taxable year is the issuing of insurance or annuity
contracts or the reinsuring of risks underwritten by insurance
companies.” §§ 831(c), 816(a). Because CSI did not transact in
annuities, it must transact in insurance to make a valid section 831(b)
election. See Syzygy Ins. Co. v. Commissioner, T.C. Memo. 2019-34,
at *28. Also, as discussed above, the deductibility of insurance
premiums as ordinary and necessary trade or business expenses
depends on whether the payments “were truly payments for insurance.”
Id. Thus, the resolution of the central issues presented here—whether
CSI could make a section 831(b) election to exclude the purported
insurance premiums from its income and whether STW was entitled to
deduct those payments from its income—hinges on whether the
arrangements under consideration constituted insurance for federal
income tax purposes.
IV.

The CSI Program did not constitute insurance for federal income
tax purposes. 19

Neither the Code nor the Treasury regulations define insurance;
we are, therefore, guided chiefly by caselaw in determining whether an
arrangement constitutes insurance for federal income tax purposes.
19 As the Supreme Court recently articulated in Loper Bright Enterprises v.
Raimondo, 144 S. Ct. 2244, 2266 (2024), overruling Chevron, U.S.A., Inc. v. Natural
Resources Defense Council, Inc., 467 U.S. 837 (1984), “instead of declaring a particular
party’s reading [of a statute] ‘permissible’ . . . , courts [must] determine the best reading
of the statute and resolve [any] ambiguity.” However, the Supreme Court cautioned
that by overruling Chevron it did not “call into question prior cases that relied on the
Chevron framework. The holdings of those cases that specific agency actions are lawful
. . . are still subject to statutory stare decisis despite [the Supreme Court’s] change in
interpretive methodology.” Loper Bright, 144 S. Ct. at 2273.

33
[*33] R.V.I. Guar. Co. & Subs. v. Commissioner, 145 T.C. 209, 224–25
(2015).
We have historically and consistently considered four
nonexclusive factors. Under the nonexclusive four-factor insurance test,
an arrangement constitutes insurance for federal income tax purposes
only if (1) the arrangement involves an insurable risk of loss; (2) the
arrangement shifts the risk of loss from the insured to the insurer;
(3) the insurer distributes the risk of loss among its policyholders; and
(4) the arrangement is insurance in the commonly accepted sense. See
Harper Grp., 96 T.C. at 58. Failure to satisfy all four factors is fatal to
characterizing an arrangement as insurance for federal income tax
purposes. See AMERCO & Subs. v. Commissioner, 96 T.C. 18, 38 (1991)
(noting that the four factors are not independent or exclusive but
establish a framework for determining “the existence of insurance for
Federal tax purposes”), aff’d sub nom. AMERCO, Inc. v. Commissioner,
979 F.2d 162 (9th Cir. 1992).
The CSI Program did not satisfy all four factors. Specifically, we
conclude that the CSI Program did not constitute insurance for federal
income tax purposes because CSI did not distribute the risk of loss
among its policyholders, and the CSI Program was not insurance in the
commonly accepted sense. 20
A.

CSI did not distribute risk.

Insurance serves a different function for the insured and the
insurer. By paying a predetermined amount (i.e., a premium) into a
general fund from which payment will be made for an economic loss
covered under the insurance policy, insureds obtain protection from
covered economic loss, externalizing their risk of loss by shifting that
risk to the insurer, who manages the fund and assumes the liability to
pay the proceeds on any covered loss. See French & Dobbyn, supra,
at 1–6. So, from an insured’s perspective, insurance is a risk-shifting
device. R.V.I., 145 T.C. at 225.
But from the insurer’s perspective, insurance is a riskdistribution device; it is a mechanism by which the insurer pools
20 Respondent argues that the CSI Program did not constitute insurance for
federal income tax purposes because, among other things, the risks involved were not
insurable, and STW did not shift those risks to CSI. Because we find that CSI failed
to adequately distribute risk among its policyholders and that the CSI Program was
not insurance in the commonly accepted sense, we need not—and do not—reach the
issue of whether the risks STW sought to insure against were insurable risks nor
whether STW shifted those risks to CSI.

34
[*34] numerous risks of multiple insureds to reap the benefits of the
“law of large numbers.” Id. at 228. One of the primary responsibilities
of an insurer is fixing premiums that will cover its costs, including its
liability to pay the proceeds on covered losses. See French & Dobbyn,
supra, at 6. To reliably fix premiums, an insurer must accurately
forecast how much it is likely to pay on covered losses; that is, the
insurer must accurately estimate the covered losses its insureds will
incur.
By distributing numerous risks across a sufficiently large number
of insureds, an insurer can use the “law of large numbers” to accurately
predict the frequency and amount of the covered losses. The “law of
large numbers” posits that “the average of a large number of
independent losses will be close to the expected loss.” Avrahami v.
Commissioner, 149 T.C. 144, 181 (2017). So “[b]y assuming numerous
relatively small, independent risks that occur randomly over time, the
insurer smoothes out losses to match more closely its receipt of
premiums.” Rent-A-Center, Inc. v. Commissioner, 142 T.C. 1, 24 (2014)
(quoting Clougherty Packing Co. v. Commissioner, 811 F.2d 1297, 1300
(9th Cir. 1987), aff’g 84 T.C. 948 (1985)). The smoothing of losses to
match the receipt of premiums “allows the insurer to reduce the
possibility that a single costly claim will exceed the amount taken in as
a premium.” Securitas Holdings, Inc. & Subs. v. Commissioner, T.C.
Memo. 2014-225, at *25 (quoting Clougherty Packing Co. v.
Commissioner, 811 F.2d at 1300). In essence, by entering into insurance
contracts with a large group of similarly situated insureds and “writing
policies for enough independent risks, an insurer can predict ‘the
frequency and amount of loss within this larger group . . . [and] set the
premium at a level that will cover the losses, cover the insurer’s
overhead and expenses, and earn a profit.’” Rsrv. Mech. Corp. v.
Commissioner, 34 F.4th 881, 905 (10th Cir. 2022) (quoting 1 Daniel W.
Gerber et al., supra, § 1.01), aff’g T.C. Memo. 2018-86. But the insurer’s
predictive powers depend on reaping the benefits of the “law of large
numbers.”
To reap the benefits of the “law of large numbers,” risk
distribution is critical. Generally, risk distribution occurs when the
insurer pools a sufficiently large collection of independent risks. See
Rent-A-Center, 142 T.C. at 24. Risks are independent when “the
likelihood of a loss under one policy is independent of the likelihood of a
loss under a separate policy.” Rsrv. Mech. Corp. v. Commissioner, 34
F.4th at 904 (citing Clougherty Packing Co. v. Commissioner, 811 F.2d
at 1300). In other words, independent risks “are generally unaffected

35
[*35] by the same event or circumstance.” Rent-A-Center, 142 T.C. at 24
(citing Humana Inc. v. Commissioner, 881 F.2d 247, 257 (6th Cir. 1989),
aff’g in part, rev’g in part 88 T.C. 197 (1987)).
Here, we must analyze whether there was risk distribution from
the perspective of CSI, the purported microcaptive insurer, because “it
is the insurer’s risk, not the insured’s, that is reduced by risk
distribution.” Swift v. Commissioner, T.C. Memo. 2024-13, at *28.
When analyzing whether an insurer achieved risk distribution, we have
cautioned against a simple tally of the entities it insured; instead, we
have emphasized the insurer’s total number of independent risk
exposures. See Avrahami, 149 T.C. at 182–83. The inquiry is whether
the insurer had insured against sufficiently numerous, diverse, and
independent risks to enable the “law of large numbers” to operate. See
id. at 183.
In prior captive insurance cases, taxpayers have argued, to
varying success, that the captive insurer achieved risk distribution by
insuring against sufficiently numerous, diverse, and independent risk
exposures through (1) direct policies to brother-and-sister entities with
a large enough pool of unrelated risks or (2) participation in an
insurance pool, whereby the pool performs the functions of an insurance
company. See id. at 181–82; Rent-A-Center, 142 T.C. at 24; Harper Grp.,
96 T.C. at 52. Petitioners argue that CSI distributed its risk by
participating in the OMNI Reinsurance Pool. 21 We disagree. Because
21 Petitioners did not argue in their briefs that CSI achieved risk distribution
through its direct written policies. We, therefore, deem the argument to have been
waived or conceded. See Estate of Atkinson v. Commissioner, 115 T.C. 26, 35 (2000)
(deeming an issue not addressed in posttrial brief to have been waived or conceded),
aff’d, 309 F.3d 1290 (11th Cir. 2002); see also Mendes v. Commissioner, 121 T.C. 308,
312–13 (2003) (“If an argument is not pursued on brief, we may conclude that it has
been abandoned.”).

In any event, CSI did not achieve risk distribution through its direct written
policies. CSI issued two direct written policies to two insureds (STW and its wholly
owned subsidiary, SaniSure), providing 16 lines of coverage and insuring 1 location, 2
vehicles, and 50 employees. The bottom line is that CSI did not insure against
sufficiently numerous, diverse, and independent risks to enable the “law of large
numbers” to operate. Our caselaw demonstrates how large these independent risk
exposures must be, and CSI fell short. See R.V.I., 145 T.C. at 214 (finding that the
insurer issued 951 policies covering 714 different insured parties with 754,532
passenger vehicles, 2,097 real estate properties, and 1,387,281 commercial-equipment
assets); Rent-A-Center, 142 T.C. at 2 (finding that, over time, the captive insured
14,300 to 19,740 employees, 7,143 to 8,027 vehicles, and 2,623 to 3,081 stores); Harper
Grp., 96 T.C. at 51 (finding that the captive insured 7,500 customers covering more
than 30,000 different shipments and 6,722 policies).

36
[*36] the OMNI Reinsurance Pool did not perform the functions of a
bona fide insurance company, CSI did not—and, indeed, could not—
insure against sufficiently numerous, diverse, and independent risk
exposures through participation in the OMNI Reinsurance Pool. See
Swift, T.C. Memo. 2024-13, at *36 (holding that the microcaptive
insurers did not achieve risk distribution through participation in
reinsurance pools because the pools did not perform the functions of a
bona fide insurance company).
In determining whether an entity such as a reinsurance pool
performs the functions of a bona fide insurance company, we have
considered a laundry list of factors, including:
•

whether it was created for legitimate nontax reasons;

•

whether there was a circular flow of funds;

•

whether the entity faced actual and insurable risk;

•

whether the policies were arm’s-length contracts;

•

whether the entity charged actuarially determined premiums;

•

whether comparable coverage was more expensive or even
available;

•

whether it was subject to regulatory control and met minimum
statutory requirements;

•

whether it was adequately capitalized; and

•

whether it paid claims from a separately maintained account.

Avrahami, 149 T.C. at 185. If the OMNI Reinsurance Pool did not
perform the functions of a bona fide insurance company, then the
policies it issued to CSI and other participants in the reinsurance pool
were not insurance policies, and CSI, therefore, did not—and could not—
distribute risk by reinsuring those policies. See id. at 190. Several
factors lead us to conclude that the OMNI Reinsurance Pool did not
perform the functions of a bona fide insurance company.
1.

There was a circular flow of funds.

Each participating captive in the OMNI Reinsurance Pool wrote
insurance policies directly to businesses for which their respective

37
[*37] insureds paid premiums. Each participating captive ceded to
OMNI a portion of the risk it had insured through the direct written
policies.
As consideration, each participating captive paid
approximately 51% of the premiums it charged its insureds to OMNI as
reinsurance premiums. Each participating captive also placed a
percentage of the reinsurance premium it paid to OMNI into the OMNI
Retrocession Trust. OMNI was to use the funds in the OMNI Trust to
pay claims associated with the risk participating captives ceded to it.
After ceding a portion of its risk to OMNI, each participating
captive then insured a portion of the total risk ceded to OMNI on a pro
rata basis, calculated by dividing the premiums the captive paid to
OMNI by the total premiums all participating captives paid to OMNI.
In exchange for assuming a pro-rata share of the pooled risk, OMNI paid
a retrocession premium to each participating captive.
As a participating captive, CSI ceded a portion of the risk it had
assumed from STW to OMNI. CSI paid OMNI a reinsurance premium
of $409,693, approximately 50.38% of the premiums STW paid to CSI.
CSI then insured a pro rata share of the total risk participating captives
ceded to OMNI. In exchange for CSI’s taking on its pro rata share of the
pooled risk, OMNI paid to CSI a retrocession premium equal to the
$409,693 reinsurance premium CSI had paid just four days before, less
a $52,000 deposit into the OMNI Trust and required fees of $7,500 to
Planning Associates and $7,875 to OMNI. Although the exchange of
payments was “not quite a complete loop, this arrangement looks
suspiciously like a circular flow of funds.” Id. at 186.
2.

The policies were not arm’s-length contracts.

Recall how the OMNI Reinsurance Pool worked. If STW made a
claim under its policies with CSI, CSI would be responsible for paying
the claim (both the “primary” and reinsurance layers). If any of those
claims reached the reinsurance layer, CSI could have presented the
“excess” claim to OMNI for reimbursement under the reinsurance
agreement. The chance that OMNI would not be able to reimburse a
covered loss under the OMNI Reinsurance Agreement raises questions
about whether a reasonable business would enter into such a contract
absent tax motivations. See id. at 188; Swift, T.C. Memo. 2024-13,
at *34.
OMNI, remember, passed on the vast majority of its premiums to
the participating captives as retrocession premiums. Because only

38
[*38] 12.5% of premiums were placed in the OMNI Trust, demands for
additional capital are easily contemplated should OMNI experiences
losses. But these capital calls might fall upon the participating captives
at a tough time, and those captives that had invested in illiquid assets
might have difficulty meeting the calls. Simply put, OMNI “would be
required to go hat in hand to the participating captives to cover cash
shortfalls, despite [its] inability to force any of the participating captives
to pay more money into the pool to cover the claim.” See Swift, T.C.
Memo. 2024-13, at *34. This could cause cascading problems across
OMNI, resulting in unpaid claims or financial stress for captives and
insureds in the arrangement.
3.

OMNI did not charge actuarially determined
premiums.

Because neither the Code nor the regulations define “actuarially
determined” premiums in the context of captive insurance, we have
relied on caselaw for guidance. See Syzygy, T.C. Memo. 2019-34, at *34.
In prior microcaptive cases, we have considered a few factors, including
whether all participants in the reinsurance pool pay the same
percentage of direct written premiums to the reinsurance entity and
whether the reinsurance entity’s loss ratios deviated significantly from
the industry standard. 22 See, e.g., Swift, T.C. Memo. 2024-13, at *35–36.
Both factors suggest that OMNI did not charge actuarially
determined reinsurance premiums. First, OMNI charged its pool
members roughly 51% of their direct written premiums. “As in our prior
cases, we are concerned with a one-size-fits-all approach to pricing.”
Patel, T.C. Memo. 2024-34, at *41. There is no apparent reason for
allocating roughly 51% of each captive’s premiums to the reinsurance
layer and 49% to the “primary” layer other than to attempt to come
within a perceived IRS safe harbor.
In a typical captive arrangement involving reinsurance, one
would expect participating captives to pay individually and actuarially
determined premiums based on each captive’s expected losses. A onesize-fits-all approach to allocating premiums between layers of
reinsurance, like the one used here, suggests that the allocation was not
actuarially determined. See Avrahami, 149 T.C. at 186 (finding a onesize-fits-all approach to risk pool premium pricing objectionable); see
22 The loss ratio generally represents the percentage of each premium dollar
an insurer spends on claims. So, for example, a loss ratio of 60% means that 60 cents
of each premium dollar earned is used to pay claims and associated expenses.

39
[*39] also Swift, T.C. Memo. 2024-13, at *35–36 (“Charging a uniform
reinsurance premium percentage to all captives participating in the pool
based on general lines of coverage and amount of underlying premium
plainly fails to account for the specific risks presented by each of the
agreements being reinsured through the pools.”).
We also suspect that the reinsurance premium OMNI received
was not commensurate with the risks it assumed. Around 51% of CSI’s
premiums from STW were assigned to the reinsurance layer (which CSI
handed over to OMNI as reinsurance premium) and 49% to the
“primary” layer (which CSI retained). But, as respondent’s expert Mark
Crawshaw explains, Rivelle’s use of a 1.5 contingency margin to allocate
expected losses and premiums between the OMNI Pool and CSI resulted
in only 34% of expected losses being assigned to the OMNI Pool. Though
the pricing was designed to meet Planning Associates’ objective of
transferring roughly 51% of STW’s premiums to the OMNI Pool, the use
of a 1.5 contingency margin combined with the selected policy limits
resulted in less than 50% of expected losses falling in the reinsurance
layer. In short, OMNI’s premiums were not commensurate with the
risks it assumed.
Second, OMNI’s loss ratios suggest that the reinsurance
premiums OMNI charged were excessive by actuarial standards. For
the years 2011 through 2016, the OMNI Pool received $63,345,830 of
reinsurance premiums and paid a single claim of $150,000. That results
in a loss ratio of roughly 0.2%. OMNI’s financial performance does not
remotely resemble that of the U.S. reinsurance industry as a whole. For
the 2015 and 2016 policy year, OMNI had an average loss ratio of 0.69%.
The reinsurance industry’s average loss ratio during the same period is
approximately 99 times OMNI’s, suggesting that OMNI’s reinsurance
premiums were not commensurate with the risks it assumed. 23
23 In his expert report petitioners’ expert Robert J. Walling III argued that the
actuarial soundness of premiums “is based on a prospective assessment of future costs,
rather than a retrospective test of actual claims experience . . . . In other words, the
appropriate test is ‘was there a reasonable expectation for claims activity?’, not
whether a claim actually happened.” He added: “If a California earthquake or Florida
hurricane insurance policy does not pay any claims in a given year, that in and of itself
does not provide any indication of the actuarial soundness of the policy’s premiums.”
We understand his argument to be an attack on the use of retroactively determined
metrics such as loss ratios to evaluate the actuarial soundness of premiums. But,
because petitioners did not take up this argument in their briefs, we deem the
argument to have been waived or conceded. See Estate of Atkinson, 115 T.C. at 35

40
[*40]

4.

Rev. Rul. 2002-89 does not apply.

Petitioners argue that CSI achieved risk distribution because it
earned more than 50% of its premiums from unrelated entities through
the OMNI Reinsurance Pool, thereby falling within a “safe-harbor”
provided under Rev. Rul. 2002-89. We have previously held that the
Commissioner is required to follow his revenue rulings, and we have
treated revenue rulings as concessions by the Commissioner where
those rulings are relevant to the disposition of a case. See Rauenhorst
v. Commissioner, 119 T.C. 157, 171–73 (2002). But for us to treat a
revenue ruling as a concession by the Commissioner, the facts of the
taxpayer’s transaction must be substantially the same as those in the
revenue ruling. See Barnes Grp., Inc. v. Commissioner, T.C. Memo.
2013-109, at *37–38, aff’d, 593 F. App’x 7 (2d Cir. 2014). We find that
the facts here are not substantially the same as those in Rev. Rul. 200289 and, therefore, decline to apply it.
First, by its terms, Rev. Rul. 2002-89 is applicable only if “[i]n all
respects, the parties conduct themselves consistently with the standards
applicable to an insurance arrangement between unrelated parties.”
Rev. Rul. 2002-89, 2002-2 C.B. at 984. As we discuss below, CSI was not
operated consistently with the standards applicable to an insurance
arrangement between unrelated parties. No one performed any
underwriting analysis when crafting the CSI policies. Also, CSI had an
unusual financing arrangement with Shor.
Without requesting
collateral or even a loan application, CSI made a $400,000 advance to
Shor. The captive in Rev. Rul. 2002-89 explicitly did not lend any funds
to the insured. Id. Though CSI did not make the advance to STW
directly, petitioners agree that it was used to support STW’s business
operations. Thus, for purposes of assessing whether Rev. Rul. 2002-89

(deeming an issue not addressed in posttrial brief to have been waived or conceded);
see also Mendes, 121 T.C. at 312–13 (“If an argument is not pursued on brief, we may
conclude that it has been abandoned.”). In any case, we reject Walling’s argument.
Though the absence of claims in any given year may not provide an indication of the
actuarial soundness of the determined premiums, a history of such absence does. From
2011 through 2016, the OMNI Pool received $63,345,830 of reinsurance premiums and
paid a single claim of $150,000, resulting in a loss ratio of roughly 0.2%. We think that
suggests the parties did not have a “reasonable expectation for claims activity” even
though OMNI paid a single claim in 2016.

41
[*41] applies, we see no meaningful difference between an advance to
STW directly and an advance to Shor for the benefit of STW. 24
Second, in Rev. Rul. 2002-89 the amounts paid by the insured to
the captive were “established according to customary industry rating
formulas.” Id. As we discuss below, the premiums STW paid to CSI are
extraordinarily high when compared to premiums set by standard
industry formulas.
Third, petitioners’ understanding of the “safe harbor” in Rev. Rul.
2002-89 is incomplete. In addition to earning more than 50% of its total
premiums (on a gross and net basis) from unrelated third parties during
the tax year, the captive insurer in Rev. Rul. 2002-89 underwrote
sufficient risks of unrelated parties. The liability coverage provided by
the captive insurer to the unrelated parties accounted for more than 50%
of the total risk borne by the captive insurer. See Rev. Rul. 2002-89,
2002-2 C.B. at 984. So, for the “safe harbor” to apply, it is not enough
for CSI to have earned more than 50% of its total premiums (on a gross
and net basis) from unrelated third parties. The liability coverage CSI
provided to unrelated parties must account for more than 50% of the
total risk CSI bore during the tax year (and by implication the coverage
provided to STW must account for less than 50% of the risk borne).
Petitioners failed to establish that less than 50% of the risk borne by
CSI stems from the liability coverage provided to STW.
B.

The CSI Program was not insurance in the commonly
accepted sense.

CSI’s failure to achieve risk distribution is sufficient grounds for
concluding that the CSI Program did not constitute insurance for federal
income tax purposes. See AMERCO, 96 T.C. at 40 (holding that risk
distribution is “necessary to the existence of insurance”). In line with
our prior microcaptive cases, we also address the issue of whether the
CSI Program constituted insurance in the commonly accepted sense.
See, e.g., Avrahami, 149 T.C. at 191; Swift, T.C. Memo. 2024-13, at *37.
In determining whether the CSI Program constituted insurance
in the commonly accepted sense, we consider several factors, including
whether (1) CSI was organized, operated, and regulated as an insurance
24 See infra Part VI for the characterization of the advance for federal tax
purposes. Regardless of whether the advance is a loan or a constructive dividend, the
transfer of funds between CSI and Shor significantly distinguishes the facts of Rev.
Rul. 2002-89 and the facts of these cases.

42
[*42] company; (2) CSI was adequately capitalized; (3) the policies CSI
issued were valid and binding; (4) the premiums CSI charged were
reasonable and the result of an arm’s-length transaction; and (5) CSI
paid claims. See Avrahami, 149 T.C. at 191.
We begin with some low-hanging fruit: CSI was adequately
capitalized and paid proceeds on a claim. We have consistently held that
an insurer is adequately capitalized if it meets the domicile jurisdiction’s
minimum capital requirements. See, e.g., id. at 193; Caylor Land, T.C.
Memo. 2021-30, at *43; Syzygy, T.C. Memo. 2019-34, at *41; Rsrv. Mech.
Corp., T.C. Memo. 2018-86, at *53. CSI satisfied Montana’s minimum
$250,000 capitalization requirement; it was, therefore, adequately
capitalized. See Avrahami, 149 T.C. at 193. Further, CSI paid its share
of a claim it had insured as a participant in the OMNI Reinsurance Pool.
But even though CSI met Montana’s capitalization requirement
and paid one claim during its brief spell as a captive insurer, several
factors compel us to conclude that the CSI Program did not constitute
insurance in the commonly accepted sense.
1.

CSI was not operated as an insurance company.

CSI’s foray into the insurance business was short lived, lasting
only a year. But even during its brief stint as a captive insurer, it did
not operate as an insurance company normally would. To determine
whether CSI operated as an insurance company, we must “look beyond
the formalities and consider the realities of the purported insurance
transactions.” Hosp. Corp. of Am. v. Commissioner, T.C. Memo. 1997482, 74 T.C.M. (CCH) 1020, 1037. In prior microcaptive cases, we have
considered whether policies were underwritten per standard insurance
practices, whether proper due diligence was undertaken to manage the
arrangement, the breadth and depth of knowledge possessed by those
overseeing the arrangement, and whether there were any unusual
financing arrangements between the captive insurer and related
parties. See, e.g., Keating v. Commissioner, T.C. Memo. 2024-2,
at *26–27; Rsrv. Mech. Corp., T.C. Memo. 2018-86, at *50–53. These
considerations lead us to conclude that CSI did not operate like an
insurance company.
First, no one performed any underwriting analysis when crafting
the CSI policies. Rivelle did not conduct an underwriting analysis nor
consult with any underwriters. But as respondent’s expert Mr. Caldwell
explained, insurance companies typically conduct underwriting

43
[*43] analyses when issuing policies. Through the underwriting
process, they determine the terms and scope of coverage they offer,
including policy limits, deductibles, and premiums. True enough,
Rivelle prepared an actuarial analysis (flawed as it may be). But though
actuaries have a role in the underwriting process, an actuarial analysis
is not the same as an underwriting analysis; they serve different
functions.
As Mr. Caldwell explained, underwriting is a collaborative effort
between an insurance company’s actuarial and underwriting
departments. In simple terms, actuaries use published rates and large
datasets for particular risks to define the rating scheme, that is,
determine the premium that should be charged for applicants that fit
into a given bucket (think risk profile) while adjusting for policy limits,
deductibles, prior loss experience, etc. Underwriters decide which
bucket (or risk profile) an insurance applicant fits into; they determine
whether an applicant is insurable and on what terms. The underwriter
relies on information disclosed by the prospective insured on insurance
applications issued by the insurance company. The application form
includes questions the insurance company deems necessary to properly
underwrite the risk (for example, questions about the applicant’s loss
history).
STW did not submit an insurance application with CSI. Yet,
CSI’s General Liability policy references “the Application,” defined as
“your written application for insurance, on a form that we provide, which
is deemed to be a part of this Policy.” That said, CSI allowed an
actuarial report to serve as an application; the General Liability policy
provided that the term “application” included “the actuarial report
prepared on your behalf by a third-party actuarial firm and any
materials submitted and statements made in connection with that
Application.” But as Mr. Caldwell explained, this is unusual; “it is fair
to say that no commercial insurance company would ever underwrite
and quote . . . coverages for a company like STW without the benefit of
an underwriting application.”
Without a completed insurance
application, Rivelle lacked sufficient information from STW to support
the underwriting process.
Further, given that the Business
Interruption coverage and the Catastrophe Excess coverage covered
losses from earthquakes and floods, there should have been extensive
documentation or evaluation of seismic or flooding exposure as part of
the underwriting process. Yet, there is no evidence of Rivelle (or anyone
for that matter) inspecting the site to assess seismic or flooding exposure

44
[*44] or even considering flood or seismic maps that might be relevant
to a coastal location in Southern California.
Second, CSI had an unusual financing arrangement with Shor.
CSI made a $400,000 advance to Shor without requesting a loan
application. As respondent’s expert David T. Russell explained, it is not
commercially reasonable for an insurance company to lend significant
sums of money (representing over 40% of its investment portfolio in
2016) without any evaluation of the borrower’s creditworthiness.
Further, CSI did not demand that Shor offer collateral, which is not
commercially defensible for a loan of this size. The interest rate offered
to Shor was well below the Prime Rate and other secured mortgage rates
at the time of the loan, even though Shor offered no collateral to secure
the obligation. When Shor did not repay as agreed, CSI extended the
maturity date by one year to suit Shor’s needs. When that did not work,
it simply did not attempt to collect on the debt for several years, in
violation of its Financial Operations Manual, which required that any
loan be repaid within one year.
2.

Some of the policies are likely not valid and binding.

In line with industry conventions the CSI policies contained
elements typically found in commercial insurance policies. The policies
include (1) declarations describing the insured parties, period of
coverage, policy limits, and policy premium; (2) insuring agreements
laying out the insurer’s commitment to provide coverage in exchange for
premiums and adhere to the conditions laid out in the contract;
(3) definitions clarifying the meaning of the terms used in the contract;
(4) conditions specifying the requirements the insured must satisfy to
receive indemnity payments and, if included, legal defense; and
(5) exclusions and limitations describing uncovered events and losses
and placing other limits on indemnity payments.
That said, some essential elements of the policies were missing.
Respondent’s expert Dr. Crawshaw noted that the absence of
commercial policy riders left the scope of several lines of coverage
undetermined. CSI defined many of the covered (and uncovered) losses
by referencing “Commercial Policy.” For example, the Catastrophe
Excess coverage covered “[d]amages from natural disasters such as
earthquakes, floods, tornados and hurricanes, as well as against manmade disasters such as terrorist attacks, in excess of any coverages that
any other Insurance Company provides to [STW] pursuant to a
Commercial Policy.” Similarly, the Deductible Reimbursement/DIC

45
[*45] General coverage covered “[t]he Deductible of any insurance claim
that [STW] paid that is not covered by [its] Commercial Policy(s) without
other conditions relating to the underlying loss, or, if applicable, a
Difference in Condition to [its] Commercial Policy without other
conditions to the underlying loss.” 25 The only definition for “Commercial
Policy” in the insuring agreements stated: “Commercial Policy means a
Commercial Policy specifically referenced in the Commercial Policy
Rider.” Yet the Commercial Policy Rider was nowhere to be found in the
policy documents, leaving the scope of coverage unspecified.
Along the same lines, the Supply Chain Interruption coverage
covered certain losses incurred because of supply chain disruptions
associated with “Events” that occurred at the premises of STW’s “Key
Suppliers.” The “Key Suppliers” are defined as “those suppliers set forth
in [STW’s] Application or provided to [CSI] in a separate attachment or
communication.” But no document in the record identified the “Key
Suppliers,” rendering the coverage unspecified.
In prior cases we held that an insurance policy was valid and
binding if, among other things, it “specified what was covered by the
policy.” Securitas Holdings, T.C. Memo. 2014-225, at *28. References
to nonexistent documents and commercial policy riders are more than
shoddy draftsmanship. Because of these oversights, it is unclear what
the policies covered. We, therefore, think it reasonable to conclude that
some of the CSI policies were likely not binding.
3.

Premiums were not reasonable nor the result of an
arm’s-length transaction.

We find that CSI’s premiums were neither reasonable nor the
result of an arm’s-length transaction. First, as respondent’s expert Dr.
Crawshaw pointed out, the lines of coverage CSI offered STW
overlapped; that is, more than one line of coverage might apply to a
single event. For example, the Administrative Actions, Pollution
Liability, Cyber Liability, and Intellectual Property Infringement
coverage all covered legal expenses, overlapping with the Legal Expense
25 “Deductible” was defined as “the amount payable by [STW] for each claim
for Loss under the Commercial Policy and the aggregate or maximum deductible
amount payable by [STW] during the term of such Commercial Policy, if applicable and
as set forth on the Commercial Policy Rider.” “Difference in Condition” was defined as
“a loss not covered under by [STW’s] Commercial Policy in an amount not to exceed
the Limit of Liability less any reimbursements associated with [STW’s] Deductible, if
applicable and as set forth on the Commercial Policy Rider.”

46
[*46] Reimbursement coverage.
Dr. Crawshaw explained that
overlapping coverage should be a significant consideration in the
actuarial pricing of a policy. So, for example, the price for the Legal
Expense Reimbursement coverage should depend on the other available
lines of coverage that cover legal expenses. When coverage overlaps, the
premium for the combined coverage should be less than the sum of
premiums for the individual lines of coverages. Yet, there is no evidence
that Rivelle considered the effect of overlapping coverage. Indeed,
Rivelle priced each line of coverage on a stand-alone basis, without
considering interactions with other lines of coverage.
Second, rate-on-line calculations show that STW paid CSI
extraordinarily high premiums for the captive coverages. A higher rateon-line means that insurance coverage is more expensive per dollar of
coverage and could therefore lead to a greater deduction for premiums.
See Syzygy, T.C. Memo. 2019-34, at *31. Respondent’s expert Dr.
Russell calculated that STW spent over 81 cents for every dollar of policy
limit per occurrence and 54 cents for every dollar of policy limit in the
aggregate on captive insurance. But STW’s commercial insurance with
Hartford had a rate-on-line of 1.3 cents for every dollar of policy limit
per occurrence and 1.1 cents for every dollar of policy limit in the
aggregate.
The captive coverage was, therefore, between 48 and 63 times as
expensive as the insurance STW purchased from Hartford. This
extraordinary difference in cost might be justified if the captive
coverages could be expected to generate significantly more claims. Yet,
STW submitted no claims to CSI during the coverage period, despite a
range of 16 different policy coverages. There is no credible evidence in
the record that these charges were justified by a substantial loss history
from STW. The difference in cost is especially striking because the CSI
policies provided “excess” coverage, which should be less expensive than
“primary” coverage. See id. at *31–32.
Third, the CSI policies had terms that deviated significantly from
commercial industry standard. Notably, the policies allowed little time
for STW to give notice or submit claims that occurred near the end of
the policy period. CSI’s General Liability policy, for example, covered
STW only for claims arising during the policy period and reported to CSI
no later than 15 business days after the end of the policy period. But,
as Dr. Russell explained, commercial insurance policies normally allow
the policyholder to submit claims for 60 days after the policy period ends
to give the policyholder time to give notice or file a claim for occurrences

47
[*47] that happen late in the policy period. Further, the CSI policies did
not provide for any refund upon cancellation; the policy documents
stated that premiums are “fully earned by [CSI] upon payment.” As Dr.
Russell points out, this is very rare in commercial insurance policies.
Though these terms may not be entirely absent in commercial insurance
policies, we find that the limited window for submitting claims and the
preclusion of refunds upon cancellation were very unfavorable to STW
and inured to the benefit of CSI, suggesting that the parties did not
negotiate the policies at arm’s length. See id. at *32.
Fourth, we find it a bit concerning that Rivelle revised his
recommended premiums for some of the proposed lines of coverage on
account of Capasso’s objections. Rivelle seemingly decreased his
recommended premium for the Administrative Action coverage from
$116,735 to $42,882 because of Capasso’s comment that the premium
seemed too high. As a general matter, we have serious reservations
about the reasonableness of premiums developed to hit a preordained
target. See Caylor Land, T.C. Memo. 2021-30, at *45–46; Syzygy, T.C.
Memo. 2019-34, at *34; see also Keating, T.C. Memo. 2024-2, at *59
(finding premiums to be unreasonable because the client “provided . . .
an amount he was willing to pay or a target premium for all policies,”
which “played an outsized role in . . . underwriting”). Of course, “[i]t is
fair to assume that a purchaser of insurance would want the most
coverage for the lowest premiums.” Syzygy, T.C. Memo. 2019-34, at *33.
Consequently, we would expect an insurance purchaser “[i]n an arm’slength negotiation . . . to negotiate lower premiums instead of higher
premiums.” Id. at *33–34. But we would not expect the actuary’s
calculations to be influenced by nonactuarial considerations such as the
captive manager’s views on acceptable premiums.
V.

Payment made by STW to CSI was not an ordinary and necessary
business expense.

Taxpayers are allowed a deduction for all ordinary and necessary
expenses paid or incurred to carry on a trade or business. See § 162(a).
Generally, amounts paid to insure against fire, storms, theft, accident,
or similar losses are deductible business expenses. Treas. Reg. § 1.1621(a). Because the amounts STW paid to CSI were not for insurance, they
are not ordinary and necessary business expenses paid or incurred in
connection with a trade or business; thus, STW may not deduct these
payments under section 162(a). See Swift, T.C. Memo. 2024-13,
at *44–45 (citing Avrahami, 149 T.C. at 199). We, accordingly, sustain

48
[*48] respondent’s determination to adjust the individual petitioners’
income tax returns by disallowing these deductions.
VI.

The advance from CSI to Shor was a constructive dividend, not a
loan.

We next consider whether the $400,000 advance from CSI to Shor
was a bona fide loan or constructive dividend. 26 A loan is “an agreement,
either express or implied, whereby one person advances money to the
other and the other agrees to repay it upon such terms as to time and
rate of interest, or without interest, as the parties may agree.” Welch v.
Commissioner, 204 F.3d 1228, 1230 (9th Cir. 2000) (quoting
Commissioner v. Valley Morris Plan, 305 F.2d 610, 618 (9th Cir. 1962),
rev’g in part 33 T.C. 572 (1959) and Morris Plan Co. of Cal. v.
Commissioner, 33 T.C. 720 (1960)), aff’g T.C. Memo. 1998-121. Whether
an advance from a corporation to its shareholder is a bona fide loan
depends on whether, at the time the advance was made, the shareholder
intended to repay the corporation and the corporation intended to
enforce the obligation. See Estate of Chism v. Commissioner, 322 F.2d
956, 960 (9th Cir. 1963), aff’g Chism Ice Cream Co. v. Commissioner,
T.C. Memo. 1962-6.
Courts have considered several factors relevant in ascertaining
whether the parties intended to establish a debtor-creditor relationship,
including:
(1) whether the promise to repay is evidenced by a note or
other instrument; (2) whether interest was charged;
(3) whether a fixed schedule for repayments was
established; (4) whether collateral was given to secure
payment; (5) whether repayments were made; (6) whether
the borrower had a reasonable prospect of repaying the
loan and whether the lender had sufficient funds to

26 Shor and his spouse, Theodosia, resided in California when they filed their
Petition, so any appeal in their case would lie to the U.S. Court of Appeals for the Ninth
Circuit unless the parties stipulate otherwise. See § 7482(b). We thus apply the
precedent of that court, to the extent it is directly on point, to determine whether the
advance CSI made to Shor was a loan or a constructive dividend for federal income tax
purposes. See Golsen v. Commissioner, 54 T.C. 742, 756–57 (1970), aff’d, 445 F.2d 985
(10th Cir. 1971). CSI’s principal place of business was in Montana when it filed its
Petition, so any appeal in its case would ordinarily also lie to the Ninth Circuit. See
§ 7482(b).

49
[*49] advance the loan; and (7) whether the parties conducted
themselves as if the transaction were a loan.
Welch v. Commissioner, 204 F.3d at 1230. The factors are nonexclusive,
and no single factor is dispositive. Id. On the basis of several of these
factors, we conclude that the $400,000 advance from CSI to Shor was
not a bona fide loan.
First, though the promissory note included a fixed maturity date
and a nominal loan amortization schedule indicating $406,000 due on
August 15, 2017, Shor did not comply with those terms. He did not pay
the amount due until 2020, years after the maturity date.
Second, Shor offered no collateral to secure repayment to CSI.
The loan was an unsecured personal loan.
Third, there is little evidence that Shor had a reasonable prospect
of repaying the loan at the time it was made. Petitioners argue that the
substantial value of Shor’s interest in STW ensured he was able to repay
the loan. We are not convinced. We construe Shor’s failure to make
timely payment as indicating an inability to meet his obligation. If he
could have repaid the supposed loan, it seems reasonable to think he
would have. We do not believe an outstanding $400,000 debt simply
slipped his mind. At any rate, we disagree with petitioners’ assessment
that this factor tips in their favor; it is neutral at best.
Fourth, the parties did not conduct themselves as if the
transaction were a loan. Yes, Shor eventually honored his debt—at his
convenience. For years, Shor behaved as though he did not owe CSI
money, and CSI behaved as though it was not owed money. Despite the
unambiguous terms of the note, Shor seemed to think he did not have to
repay the purported loan until CSI “demanded” it. Yet Shor knew that,
as president of CSI, it was his responsibility to collect on behalf of CSI.
Repayment was made in 2020 only after these cases were docketed for
trial and Shor was “flush with cash,” having sold STW a few years
before.
Though CSI allegedly agreed to extend the maturity date for one
year to 2018, there were no formal written extensions. But even if CSI
extended the maturity date, no evidence points to its being extended
beyond 2018. Yet CSI never sought repayment after the extended
maturity date elapsed in 2018, suggesting that Shor was at liberty to
repay at his convenience (perhaps whenever it crossed his mind). Such
an arrangement is incongruous with a bona fide debtor-creditor

50
[*50] relationship. Id. at 1231 (noting that a purported lender’s failure
to seek repayment is inconsistent with the existence of a bona fide loan).
In short, though the parties adhered to certain formalities (for
example, the promise to repay was evidenced by an interest-bearing
promissory note), in the light of Shor’s failure to comply with the terms
of the note and CSI’s nonchalant attitude toward noncompliance, we
cannot say that Shor and CSI intended to create a bona fide debtorcreditor relationship. See Estate of Chism v. Commissioner, 322 F.2d
at 960 (explaining that the existence of a legal obligation to repay is not
controlling; rather the taxpayer’s intent to honor, and the corporation’s
intent to enforce, the obligation are determinative). We, accordingly,
conclude that the advance was a constructive dividend from CSI to Shor.
VII.

Conclusion

For the reasons set forth above, we will sustain respondent’s
deficiency determinations. In reaching our conclusions, we have
considered all arguments made by the parties, and to the extent not
mentioned or addressed, they are irrelevant or without merit.
To reflect the foregoing,
Decisions will be entered in due course upon completion of further
proceedings.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/agency%3Atax-court%3Af74043051db287bf. Public record. Not legal advice.
