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© 2008 by Riser Adkisson LLP. All rights reserved. No
portion of these materials may be reproduced in whole or
in any part without the express written permission
of
Adkisson Publishing Inc. Legal issues should
be faxed
to
877-698-0678.
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Captive Policies
As discussed in greater detail in the book:
Business Liability
Business Casualty
Excess Insurance
Bonds
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Captive insurance companies often do not replace
existing coverages, but rather look to cover areas of risk where the
business has no insurance and thus is said to be "naked" to the risk.
Where the business has no insurance, the business owner would pay for
uncovered losses out of his own pocket anyway, so shifting the risk to
the captive will not increase the owner's risk profile.
To the contrary, shifting the risk to the captive
will allow the owner to set aside current reserves against these future,
uncovered risks so that if they materialize the owner can pay for the
loss with pre-tax dollars. However, if the risk never materializes, the
owner is able to retain the underwriting profits.

Where captives are used in conjunction with existing
coverages is to insure against deductibles, exclusions, and excess
liabilities.
Litigation Expense Policy (LEP)
A litigation expense policy (LEP) is simply an insurance policy that pays for the costs defending a lawsuit. If a defendant's only insurance is a litigation expense policy and the insured loses at trial, the litigation expense policy will not pay the plaintiff or indemnify the insured for its losses. It only covers litigation expenses.
In the mid-1990s, with the emergence of the modern captive markets, litigation expense policies resurfaced as a flexible and sophisticated asset protection tool. These instruments now play an important role in advanced asset protection planning.
The primary value of a litigation expense policy is that it pays the legal costs of defending certain claims without making a pot of money available to a plaintiff who is able to obtain a judgment. The issuing insurance company -- but not the insured-- retains the right to settle the claim within remaining policy limits, meaning that the longer the litigation lasts the less money will be available for settlement, all the way down to nothing. For plaintiffs' attorneys, this is a tremendous incentive to settle the case early and within the limits of the LEP policy.
But litigation expense policies can cover more than just litigation expenses. Litigation expense policies can be negotiated to cover a broad range of risks, including paying for the lost work time of the insured in responding to discovery requests and travel expenses to and from key depositions and trial.
Litigation expense policies may also be used to strengthen the effectiveness of existing insurance. One way in which they can do this is by providing counsel in addition to the attorney provided by the primary liability insurer in order to ensure that the insured's interests are well covered, and in order to provide additional assistance in the litigation. Similarly, litigation expense policies also provide "bad faith" coverage to challenge the primary insurance company's failure to defend a claim or to cover a judgment. A comprehensive litigation expense policy will pay for the cost of hiring an attorney to write demand letters to the primary insurance company insisting that they aggressively defend the case, or settle, if that is in the client's best interests, and to pay claims to the fullest limits of the policy in the event of a judgment. The presence of a watchdog may keep the primary insurance company from abandoning interests of the client, or at least position the client to bring a bad faith case against the insurance company should it fail to honor the terms of its policy.
Another feature of litigation expense policies is the concept of the "dedicated reserve", which is a segregated reserve account set aside specifically for the particular policy for which the premium is paid (after the insurance company's deduction for its fees). The dedicated reserve ensures that regardless of what happens to the insurance company, funds will be available to meet claims.
Litigation expense policies can contain a number of other useful features, limited only by the imaginations of the parties negotiating the policy's terms. Because litigation expense policies of the type described here are sold exclusively by small offshore insurance companies, their policy provisions can be quite flexible without the risk of interference from the local insurance commissioner.
Although a creditor may challenge the payment of premiums to an insurance company for a litigation expense policy as a fraudulent transfer, that challenge is unlikely to be effective. The transfer of the premium is "for value", i.e., the insured receives valuable policy benefits in exchange for the premiums paid. Also, if the insurance company is offshore it will be unlikely to refund the premium depending on the terms and services already provided, including, presumably, funding the fraudulent transfer litigation. Thus, litigation expense policies can be useful tools even for a debtor involved in an current lawsuit.
Like any other sophisticated products, litigation expense policies are subject to abuse. In particular, beware of refund policies which are pitched as an asset protection tool but are little more than a dubious tax shelter. Marketed primarily to physicians, these products promise that the insured can pay a premium to the insurance company, take a business deduction for it, and then at the end of the policy term recapture the premium inside a cash-value life insurance product, Roth IRA or some other tax advantaged investment vehicle, allegedly allowing the insured to deduct the substantial premium then to receive the funds back tax-free without recapturing the income tax deduction. These schemes are clearly questionable and aggressive tax shelters. Furthermore, the insurance policies usually do not stand up to scrutiny as insurance policies. For example, coverage limits may be identical to premiums paid, or the policy may require the payment of additional premiums if claims exceed the initial premiums paid. Many such policies require the transfer of money offshore, which of course raises serious concerns about the potential loss of the money to embezzlement and tax or financial transactions reporting requirements that could compromise the supposed tax and asset protection benefits. The IRS is examining at some of the more heavily-marketed arrangements and we would not be surprised to see them soon specifically designated as illegal tax shelters.
Litigation expense policies are really not designed to be tax products, although they have occasionally been used that way. The problem with using them as tax products is that litigation expense policies are meant to be last-ditch products that creates powerful asset protection weapons in the event a determined creditor comes along. Litigation expense policies which are also designed to be tax shelters may compromise the insurance coverage, for if the IRS says that for tax purposes, the policy reserves really belong to the policyholder, the creditor might have an opening to convince a court that the policy reserves really belong to the policyholder for legal purposes as well. A truism of asset protection applies here: that which attempts to accomplish everything often will accomplish nothing.
When considering a litigation expense policy, a U.S. attorney familiar with onshore and offshore property and casualty policies in general as well as with litigation expense policies should always be employed to negotiate the terms of the policy and to investigate the issuing insurance company and the totality of the arrangement.
LEPs are ideal policies to be issued by captive insurance companies.
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Since its release in late 2006,
Jay Adkisson's book on captive insurance companies has
become the all-time captive insurance bestseller,
providing a basic introduction to captives and related
structures and how they are properly utilized within the
context of the client's overall business and estate
planning.
Available now from:
Amazon and
Barnes & Noble
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We assist prospective captive owners and their advisors in
evaluating, designing, and implementing captive solutions. We
also review existing captive structures and suggest ways that
they can be used more efficiently. In addition to Mr. Adkisson's firms, we also have relationships with experienced and
reputable insurance managers, actuaries, underwriters, and
accountants who specialize in captive insurance arrangements.
You may contact
Jay
Adkisson for a telephone conference or for a speaking
engagement by calling his scheduling assistant at 949.200.7753
or by e-mailing him directly to jay [at] risad.com (We
serve clients nationwide).
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AND NEWS
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GENERAL DISCUSSION AND
NEWS
Discussion of news and general issues relating to
captive insurance companies and alternative risk
transfer and management issues. Most new posts will
go here unless clearly bound for another category. |
Calendar of Upcoming
Events
A listing of upcoming events involving captive
insurance companies and alternative risk management,
including association meetings, educational forums,
etc. Please send us your meeting information to add
to our list! |
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LICENSING ISSUES
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Formation and
Licensing
Discussion of issues relating to the insurance
license application, the issuance of the license,
capitalization, etc. |
Cell Captives and
Rent-A-Captives
Discussion of segregated cell captives and similar
arrangements that are primarily designed for
businesses that are too small to economically
justify a captive. |
Group Captives and
Association Captives
Discussion of large group captives and captives
serving associations. |
Risk Retention Groups
Discussion of insurance companies formed under the
Federal Liability Risk Retention Act of 1986. |
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ARRANGEMENTS
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Risks and Policies
Discussion of the insurance risks for businesses and
the policies that can be developed to cover those
risks |
Workers Compensation
Discussion of workers compensation insurance,
including fronting arrangements and reinsurance. |
Healthcare and
Benefits
Discussion of moving employee healthcare insurance
and other employee benefits into a captive or
similar arrangement. |
Medical Malpractice
Discussion of the use of captive and other
alternative risk transfer strategies for medical
malpractice liability. Includes discussion of tax
scams sold to physicians involving medical
malpractice premiums paid to offshore insurance
companies. |
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TAX ISSUES |
Tax Issues Generally
Discussion of tax issues relating to captives and
other alternative risk transfer and management
issues other than those listed in one of the forums
below. |
Federal Risk Shifting
and Insurance Contracts
Discussion of the federal tax law requirements for
"insurance" as they relate to the shifting of risks
and what constitutes a valid insurance contract as
opposed to an economic hedge. |
Federal Risk
Distribution
Discussion of the federal tax law requirements of
risk distribution, including what does and does not
qualify for the 12+ affiliate safe harbor, and
attribution issues. |
Federal Excise Taxes
on Insurance
Discussion of the federal excise taxes on insurance
premiums paid, including premiums paid to offshore
captive insurance companies |
831(b) Election
Discussion of the 831(b) election for insurance
companies whose annual net premium income does not
exceed $1.2 million per year. |
501(c)(15) Exempt
Insurance Companies
Discussion of insurance companies qualifying for
exempt treatment under IRC section 501(c)(15) for
gross receipts not exceeding $600,000 per year of
which at least half those receipts are premium
income. |
State Income Tax and
Independently Procured Tax Issues
Discussion of state income tax issues for
alternative risk management transactions and
captives, including whether out-of-state captives
are subject to state income tax and whether a state
may assess a premium tax or independently procured
tax to premiums paid to captives. |
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UTILIZATION OF THE
CAPTIVE'S ASSETS |
Captive Investments
Discussion of appropriate vs. inappropriate
investments for captive insurance companies,
permitted asset rules, and regulatory preferences. |
Loanbacks
Discussion of the practice of having the captive
loan money back to an insured or the parent company
and the effect of loanbacks on the tax treatment of
the captive arrangement. |
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DOMICILES - STATES |
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Arizona |
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Hawaii |
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Kentucky |
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Montana |
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Nevada |
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South Carolina |
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Utah |
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Vermont |
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Other States Not
Listed |
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DOMICILES - OFFSHORE |
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Bermuda |
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British Virgin
Islands |
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Cayman Islands |
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Other Offshore
Domiciles Not Listed |
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CAPTIVE SERVICE
PROVIDERS |
Accountants and
Auditors
Listing of accountants and auditors who provide
bookkeeping services and/or have been admitted by an
insurance commissioner to perform audits of captive
insurance companies. |
Attorneys
Listing of attorneys and law firms that provide
services to captive insurance companies and similar
alternative risk transfer arrangements. |
Actuaries
Listing of actuaries who provide actuarial services
to captive insurance companies. |
Managers
Listing of captive insurance managers who have been
admitted in one or more jurisdictions to
administrate captives. |
Other Service
Providers and Consultants
Listing of service providers to captives not
otherwise listed above and consultants to captive
insurance companies and alternative risk transfer
structures. |
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