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February 2016
Navigating the Complexities of Captive Insurance Companies: How to
Navigate Through the Truths and Myths of Captive Insurance
Brian Kilbane, Senior Manager | Assurance
Determining whether to establish a captive insurance company can be quite confusing, especially for individuals who have
no previous insurance industry experience. Furthermore, a captive insurance company may not be the right insurance
risk management solution for all companies. The following are critical factors that companies should consider when
determining if such a program is right for them.
Captives Can Provide Numerous Benefits
A major reason why captive insurance companies are so
popular is that there may be a variety of benefits in placing
risk with a captive insurance company. As long as the
company properly follows the rules and regulations and
performs robust due diligence to determine if a captive is
feasible for them, there can be much to gain from owning a
captive insurance company.
There are four main potential benefits from a captive insurance
program as described in the table below:
Minimize Insurance Costs
Control Risk
Improve Cash Flow
Accumulate Wealth
Potential reduction in premium costs
Helps control claim costs
Accelerated deductibility of certain tax
deductions
Certain captive structures allow
premiums to be earned tax exempt
• Premiums are priced based on
your actual loss history.
Retain underwriting profit
• Profit is not going to a third party
insurance company.
• Since you own an insurance
company, you are incentivized to
control claim costs.
Access to reinsurance market
• Generally cheaper catastrophe
coverage than tail coverage.
• Tax deduction when reserves are
established versus when claims
are paid.
Premium dollars are retained
• Premium is not going to a third
party outside the organization.
• IRC§831(b) captives do not tax
underwriting income on premium
volume up to $2.2 million*.
Distributions may be taxed at a
preferential dividend rate vs.
the
estate, corporate or personal tax rate.
* Existing law exempts underwriting income on up to $1.2 million of premium volume through December 31, 2016 - the Protecting Americans from Tax Hikes Act
of 2015 (the “PATH Act”) increases this level to $2.2 million beginning on January 1, 2017, subject to certain eligibility requirements.
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Buyer Beware – Mitigating the Risks of
Owning a Captive
• Insurable risk – The risks insured in the insurance
contract must be a valid insurable risk of the company.
There may be an incentive to “create” risks in order to
maximize the use of the §831(b) $2.2 million premium
tax amount – this circumstance should be avoided.
Questions to ask - Is it appropriate for a farming
company in Iowa to have terrorism risk coverage? Is it
appropriate for a professional services company to have
environmental risk liability? If the proposed risks do not
seem to make sense, there is a chance that they would
not hold up under IRS scrutiny.
The benefits described above can only be achieved if it is
feasible for your company to invest in a captive insurance
company and the captive and related contracts are
established in accordance with U.S. GAAP accounting
guidance, applicable tax law including Internal Revenue
Service (IRS) tax rulings, and regulations of the domiciliary
jurisdiction.
The section below highlights some of the risks and issues that
you need to be mindful of as you work through the decision
making process of whether a captive insurance program is
right for you.
• Premiums must reflect the risk of loss – Another way
to maximize the use of the §831(b) $2.2 million premium
volume threshold is to increase the premium dollars in
an insurance contract to make them as high as possible.
Premiums need to reflect the true cost (in a third party
sense) of the risk of loss insured under the insurance
contract, and should not be much higher than if the
company would have purchased the same contract in
the open market. If your consultant is not using actuarial
studies or market based research techniques to develop
the premiums in an insurance contract, then there is
a risk that the premiums being charged may not be
supportable under IRS scrutiny.
Risks and Issues to Consider
Feasibility Study
Even if a captive insurance company is set up and complies
with all applicable rules and regulations, you still may not
achieve the benefits of the captive based on your facts
and circumstances. Therefore, it is imperative that a robust
feasibility study be performed.
This study performs the
necessary due diligence procedures to determine if your
current ownership structure, insurance programs and
other factors create a profile that can lead to a successful
captive arrangement. Be mindful of a pre-packaged captive
solution. A captive is not a one-size-fits-all solution.
Without
performing this feasibility study, you run the risk of not getting
the maximum benefit from the captive, or unknowingly
violating rules and regulations.
• Risk Shifting/Distribution – Under judicial and
administrative guidance, including IRS rulings, there
must be sufficient risk shifting and risk distribution for
an arrangement to pass muster as insurance for federal
income tax purposes. While there are no specific bright
line tests (or an actual definition for that matter) that
are dispositive, the IRS has published several rulings
that provide “safe harbor” rules for what constitutes
insurance for federal income tax purposes. For example,
in a parent-subsidiary relationship, at least 50 percent
of the premiums in the captive should be unrelated,
third party risk.
If the captive is insuring brother-sister
companies, the IRS has ruled that 12 subsidiaries,
where no subsidiary accounts for more than 15 percent
of the total insured risk, is indicative of sufficient risk
shifting/distribution. Finally, the IRS has ruled that
disregarded entities, like LLC’s, will not be respected in
determining the number of subsidiaries for purposes of
risk distribution.
Must have a valid insurance contract
To achieve the benefits of insurance tax accounting, the
contract between the insured and the captive insurance
company must be a valid insurance contract, just as if the
company were dealing with a third party insurance company.
To be a valid insurance contract, the contract must possess
the following characteristics:
• Risk of loss – There needs to be a possibility that the
captive insurance company can suffer a net economic
loss if a large loss event were to occur. For example,
in an auto insurance contract with an annual premium
of $1,000, and a vehicle worth $15,000, there is a
chance that the insurance company may suffer a net
loss (loss in excess of $1,000) if the automobile was a
total loss.
Contract provisions that provide for premium
reimbursements; claim deposit accounts; or other
provisions that mitigate the risk of loss to the captive
may invalidate a contract as an insurance contract.
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Complex new diversification requirements of §831(b)
resulting from the PATH Act.
Enactment of the PATH Act provided a welcome increase
in the maximum net written premiums that will allow an
insurance company to elect to be taxed solely on its
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investment income. However, this comes with a set of criteria
that is strict and complex. The captive must meet one of the
two tests below:
impacts many different departments: risk management,
accounting, finance, treasury, legal, etc. Each department
needs to be responsible for ensuring that the captive is
providing the benefits as expected and to analyze results
to anticipate any unexpected claims or results in the future.
Companies that fail to do this analysis run the risk of not
having a successful captive program.
• Test #1 – No more than 20 percent of the net written
premiums (or, if greater, direct written premiums) of the
captive for the taxable year is attributable to any one
policyholder.
Captives domiciled in countries without audit requirements
• Test #2 – The owner of the captive must have essentially
the same ownership percentage in the captive as it does
in the parent company (within a 2 percent margin of
difference).
To save on administration expenses, some captives are
established in offshore jurisdictions that do not have annual
audit requirements.
Although this approach is a valid cost
saving measure, you must be sure this approach is not being
used to avoid additional scrutiny of a potentially aggressive
captive structure.
The specific application of these tests is complex and requires
analysis of ownership attribution as well as direct ownership.
Upon enactment, little application guidance was provided by
Congress – it is expected that administrative guidance will
surface as Treasury considers the new rules.
What Can DHG LLP Do To Help?
At DHG, we have seasoned tax, audit and advisory personnel
that have deep experience in advising clients on many facets
of the captive insurance industry. We offer the following
captive services:
Therefore, we recommend if you are considering an §831(b)
captive, to consult with DHG’s captive insurance specialists
to walk you through these complexities and find the right
solution for you.
• Captive Feasibility Study
• External Audit
Account for expected claim and administration expenses
• Tax Provision Preparation
• Tax Return Preparation
There are meaningful costs associated with the operation of a
captive insurance company. The captive insurance company
must pay a captive management company to manage the day
to day activities of the captive, including coordinating with
the claims administrator, investment manager, investment
custodian, actuarial firm and audit firm.
These expenses
can be standard on a year over year basis and therefore
can be typically anticipated in your cost-benefit analysis.
The most significant variable in the cost benefit analysis is
claims frequency and severity, which further highlights the
significance of a robust feasibility study.
• Tax Consulting
• Internal Audit
Assessments
• Risk Governance
Assessments
• Accounting Policy and
Control Services
• Financial Reporting
Outsourcing
• Transaction and
Accounting Analysis
• Training and Education
Let us help you through your captive insurance company
considerations.
You might see pro-forma financials without claim expenses
or very low claim expenses, giving the false impression that
there will be no insurance losses suffered by the captive. That
is not always the case and you need to be prepared for ups
and downs of owning an insurance company. The insurance
business is a long-term business, where the goal is to produce
a net underwriting gain when considering the positive years
as offset by the negative years.
About the Author
Brian Kilbane, a senior manager on the firm’s Assurance
Services team, has more than 15 years of experience in
the insurance industry.
His extensive experience includes
leading domestic and international insurance audits with
complex and diverse issues within property, casualty, life,
reinsurance, captive and catastrophe insurance companies.
Proper oversight of captive operations
Brian Kilbane
Senior Manager, Assurance
404.575.8954
brian.kilbane@dhgllp.com
From a parent company’s perspective, it is easy to allow the
captive managers to run the day to day operations of the
captive, or leave it up to one individual at the company to
oversee the captive. However, the captive insurance company
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