Frequently Asked Questions
How widespread is
captive insurance planning?
What goes into forming
and operating a captive?
What is a "domicile"?
How do I select a domicile?
Are there benefits to
locating in a well regulated domicile? Or should I select the
jurisdiction with the most lax regulation, the lowest capitalization
requirements, and in general the one that is least expensive?
What are the tax rules
related to captive insurers where the ultimate beneficial owners are
U.S. persons?
What are the essential
ingredients for a contract of insurance to qualify as bona fide
insurance?
What is the purpose of
a feasibility study, what information does it contain, and who performs
it? What does a feasibility study cost?
Does a captive
insurance program replace my conventional insurance program? Will my
business be insuring all of its risks through the captive or only some
of them?
What is the difference
between risk management and risk financing?
Does the captive need
to have an actuarial review, and does it need to be audited each year by
an independent CPA firm?
Is a captive just a tax
dodge?
How widespread is
captive insurance planning?
Captives are widely used both
domestically and abroad. For example, A.M. Best, one of the world's
most respected information sources on the insurance industry, estimates
that there are over 5000 captives worldwide. While statistics do not
exist for the size of the captive insurance market, it is estimated by
many professionals to be larger than the conventional insurance market.
Certainly, it is very large by any standard. Nevertheless, smaller
businesses use captive planning much less often than the larger
companies with the typical captive sponsor being a Fortune 1000 company
with tens of millions of dollars a year of premiums. Such companies can
afford to cover the substantial investment in the formation and
administration of a separately capitalized and regulated insurance
arrangement.
Mid-sized companies have a more
difficult time covering the sizable captive formation and administrative
costs and are faced with spreading such costs over much smaller premium
volumes. To address the problem of restraining costs, Capstone
developed its turnkey captive program which is specifically tailored to
the privately-held, middle-market company with the objective of bringing
this planning technique within the reach of the middle market.
Nonetheless, captive planning remains a substantial undertaking, and no
business should contemplate use of this type of risk management program
unless it is willing to make a long-term commitment of 3 - 5 years to
the planning. In all cases a team of seasoned professionals is
necessary to design, implement, and then continuously monitor your
captive insurer, which is a full blown insurance company.
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What goes into
forming and operating a captive?
Insurance is a highly regulated
industry, and the operation of a captive -- just like any other insurer
-- requires staying in compliance with multiple regulatory authorities.
The task of forming and operating a captive is a challenge that calls
for expertise in many areas and ongoing attention. Implicit in
accomplishing this are the crucial roles played by risk managers,
insurance regulatory lawyers, accountants, outside auditors, investment
professionals, resident insurance managers, tax lawyers, finance and
corporate lawyers, reinsurance specialists, underwriters, and often
actuaries, among others. Coordinating the activities of these many
persons calls for a effective overall manager.
Capstone has negotiated preferred
arrangements with our suggested team of service providers. This allows
Capstone to provide the full range of needed expertise to form and
administer a captive at an affordable price and through one
domestically-based company, with just one phone call to us. Capstone
offers affordable captive planning to the middle market, with regulatory
& licensing fees, risk management services, resident manager fees,
lawyers, accountants, bookkeepers, auditors, and other contracted
professionals all included in our turnkey fee. Where commissioned
separately, it is not uncommon to incur first year costs of $250,000.00
or more, which for a small captive with limited premium revenue is not
feasible. Our fees are a function of this.
For a summary of the many tasks involved
with captive set up and operation, see our Turnkey Services [LINK] page.
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What
is a "domicile"? How do I select a domicile?
A domicile is the
jurisdiction in which a captive insurer is incorporated and regulated.
There are many domicile options, both domestically (i.e., within the
U.S.) and internationally. Many of the factors involved in the
selection of the best domicile are included as part of a feasibility
study that is coordinated by a qualified insurance professional who can
marshal input from other professionals as needed.
Some of the questions that
bear on the selection of where to locate the captive include: What is
the domicile's image in the insurance industry, and how politically
stable is it? Is there a supportive infrastructure for needed captive
services? Is the domicile respected by reinsurers and fronting
companies, and what is the local tax structure? More detailed analysis
involves addressing issues such as: capitalization and solvency
requirements, initial and ongoing fees and expenses, and specific
regulatory requirements regarding approval of coverage forms and types
of coverage permitted, policy pricing, loss reserves, minimum premiums,
and admissibility of various classes of investment assets.
Even a foreign (i.e., non-U.S.)
insurer not operating in the U.S., where it is beneficially owned by
U.S. persons, comes under U.S. tax law and is subject to U.S. tax. This
is the case even where, for example, the captive is domiciled in
Bermuda. Under certain circumstances, a foreign insurer can elect to be
treated as a domestic corporation. When this election is properly made,
the captive operates as if it were a U.S. insurer, just like any
domestically domiciled insurer. Again, in all instances it is subject
to U. S. tax laws.
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Are
there benefits to locating in a well regulated domicile? Or should I
merely select the jurisdiction with the most lax regulation, the lowest
capitalization requirements, and in general the one that is the least
expensive?
There are many things to
consider when choosing a domicile, whether such is domestic or
international, with some of the international domiciles being better
suited for smaller captives. Offshore domiciles are monitored by the
Organization for Economic Cooperation and Development ("OCED"), the
International Monetary Fund ("IMF"), and other international monitoring
organizations in order to ensure that the domicile meets international
standards, ensuring compliance with financial controls to prevent money
laundering, tax fraud, etc. In less regulated jurisdictions, the
absence of strict compliance with these international standards can be a
concern. In general, only a bona fide regulatory jurisdiction should be
considered. Capstone encourages this. Of course, a bona fide
jurisdiction can be onshore or offshore.
A major consideration in
selecting a domicile should be the availability of support services
which will be needed by the specific captive; such infrastructure
support services include local professionals with the requisite work
experience, acceptability of the domicile to reinsurers, regulators with
specialized knowledge of the captive's industry. Also, the best
approach for finding the domicile that best fits your particular needs
is to conduct a properly implemented feasibility study.
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What
are the tax rules related to captive insurers where the ultimate
beneficial owners are U.S. persons?
There are both federal and
state tax issues to consider. At the state level, most jurisdictions
levy a "premium tax" (variously labeled as "independently procured
premium tax" or "self-procured insurance tax") that runs 3% - 5% of the gross premium. This tax is the equivalent of a state sales tax
targeted at insurance policies from non-admitted carriers, and
historically, has been levied against the insured rather than against
the insurer.
At the federal level,
there is a 4.5% excise tax to consider as well as income tax rules.
Federal excise taxes are eliminated by non-U.S. domiciled captives
electing to be taxed as U.S. insurers, waiving as well the benefit of
any tax treaties. There are also several sections of the Internal
Revenue Code ("IRC") that must be mastered to properly determine the
income tax position of a particular insurance company. Some IRC
sections provide certain income tax advantages for smaller insurance
companies to help them level the playing field with their larger,
multi-billion-dollar insurance company competitors. Overall, this is a
complex area of the tax law, and consultation with a tax expert
qualified to advise in this area is strongly advised.
Also, in addition to the
tax area, there is a whole host of state insurance laws and regulations
relating to the location of the insureds which must be navigated in
designing a captive insurance program. This is all in addition to the
regulations governing the captive insurer in its home domicile.
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What
are the essential ingredients for a contract of insurance to qualify as
bona fide insurance?
Generally accepted
criteria for insurance include:
(a) Bona fide insurance
must involve a contract between an insured and an insurer providing
indemnification or reimbursement by the insurer to the insured for loss
from an insurable risk.
(b) There must be a
transfer or shifting of risk. In a conventional insurance arrangement,
this criterion is easily met because the insurer is unrelated to the
insured. In a captive insurance arrangement, this criterion must be
shown by means of formal contractual transfers of risk. These companies
can be related, and usually are best structured as brother-sister
subsidiaries within the same group of companies.
(c) There must be
sufficient distribution of risk. Sufficient risk distribution may be
accomplished by means of reinsuring (assuming) risks underwritten by
unrelated insurance companies or by directly writing sufficient coverage
for unrelated persons. In any case, the specifics of each situation
must be evaluated, and differing risk distribution structures should be
considered to meet the objectives of each plan.
And of course, the captive
should be licensed by the domicile to engage in the lines of business
that it is underwriting.
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What
is the purpose of a feasibility study, what information does it contain,
and who performs it? What does a feasibility study cost?
As its name implies, a
feasibility study determines the practicality of the formation and
operation of a captive insurance company for a particular business
entity. It also explores alternative risk financing mechanisms
available to the insured Although studies are not required by all
domiciles, the feasibility study is a key component to establishing the
appropriateness of alternative risk planning and are a component of good
planning. Additionally, a feasibility study helps establish the bona
fide business reasons for a captive's formation. Where required, some
domiciles also specify the format in which the final report must be
presented. Some require that a formal actuarial study be carried out as
well.
As a practical matter, a
feasibility study should be conducted whether it is required by the
domicile or not; the foremost reason for doing such a study is that it
provides management with a formal and contemporaneous compilation of
the key factors that went into evaluating the practicality of adopting
such planning given their objectives.
Most studies will include
a general section on the background of captive insurance companies and
their advantages and disadvantages, how the proposed captive sponsor
addresses these advantages and disadvantages, and a comparison of
captives with other alternative risk management options. The study will
also include a summary of the captive sponsor's business operations and
its goals with respect to forming a captive insurer, addressing pricing
inequity examples, market condition issues, and loss control issues.
The substance of the study includes a detailed selection of coverages to
insure, a discussion of how policy pricing and loss reserves will be
determined (sometimes actuarial data is required), a segment identifying
the preferred domicile(s), and sometimes a set of financial statement
forecasts for the captive's initial years of operation.
Capstone customarily
provides a feasibility study as part of its turnkey fee.
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Does
a captive insurance program replace my conventional insurance program?
Will my business be insuring all of its risks through the captive or
only some of them?
A captive insurance
program is generally designed to provide the consistency of a stable
insurance environment for a particular coverage or set of coverages.
Sometimes it replaces parts of your conventional insurance program,
sometimes all of it and sometimes none of it. More frequently, a
captive program fills the many gaps in conventional coverages or
replaces certain parts of that program. In general, the best types of
coverages for a captive are those that (i) have premiums that fluctuate
significantly from year to year; (ii) where a client's loss experience
is different from others in its industry causing a pricing inequity in
premiums; and (iii) other coverages that are not practically available
on consistent and comprehensive policy forms and at fair prices. Also,
the comprehensiveness of a captive insurance program should be evaluated
in light of the risk tolerance of the insured. For example, some
insureds are very risk averse and seek out a comprehensive risk program
that significantly reduces the volatility of losses. These matters
should be addressed in further detail in a feasibility study.
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What
is the difference between risk management and risk financing?
Risk management is a general term
referring to the identification, quantification, and handling of all the
risks your business is subject to. Risk management includes safety
programs, contractual "hold harmless" agreements, regular legal review
of your internal procedures, and other non-financial methods of
addressing identified risks.
Risk financing is a process that identifies the most efficient way to finance an
identified risk. In many cases where insurance is readily available
through the conventional marketplace at affordable prices, the answer is
to buy conventional insurance. In cases where insurance is not readily
available or not affordable, risk financing includes the analysis of
other options, including self-insurance (i.e., setting up and paying
into reserve liability accounts), and forming a captive insurer.
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Does
the captive need to have an actuarial review, and does it need to be
audited each year by an independent CPA firm?
Respected domiciles will
require an annual audit by an independent CPA firm or its equivalent,
with industry specific experience in the insurance industry.
Many domiciles require a
formal actuarial review of your captive's policy pricing and loss
reserve methodology, while some jurisdictions do not. Absent a formal
actuarial review of premiums and loss reserves, your captive will,
nevertheless, need to properly document its policy pricing and loss
reserve methodology.
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Is a
captive just a tax dodge?
Captives have long been used
by many prominent companies to manage their insurance risks. However, as
with any industry, there are sometimes a few overly aggressive companies
which exhibit poor judgement in designing or implementing a captive
insurance program. One example, which was the subject of a New York Times [LINK] article entitled "Tiny Insurers Face Scrutiny As Tax Shields" involves a
so-called "captive insurance company" which wrote virtually no insurance
coverage, while generating hundreds of millions of dollars in tax free
investment income. See NYT article under What's New [LINK].
Also see the article entitled "Insurance
Loophole Helps Rich [LINK]" which discusses
how this company collected only $33,173 in premiums over four years while
making investment profits of over $315 million. Clearly, this entity on its
face appears to be something other than an insurance company. To counter
this apparent abuse, the IRS has advised the insurance community that it
expects captive insurance companies (which, by design, serve the needs of
their affiliated insureds) to be run in a manner similar to conventional
insurance companies, and if operated in this manner, captive insurers should
be afforded the same special tax and corporate benefits commonly afforded
conventional insurance companies. The positions of the IRS are spelled out
in many cases and pronouncements.
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