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Insurance Claims professional presents articles and videos on insurance, insurance Claims and insurance law for insurance Claims adjusters, insurance professionals and insurance lawyers who wish to improve their skills and knowledge. Presented by an internationally recognized expert and author.
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April 22, 2026
Win Some, Lose Some When You Sue the IRS

Captive Insurers are an Acceptable Means to Avoid Tax

Post number 5328

See the video at https://rumble.com/v78rr9k-win-some-lose-some-when-you-sue-the-irs.html and at https://youtu.be/1FrfujEOEuI, and at https://zalma.com/blog plus more than 5300 posts.

In Drake Plastics Ltd. Co., et al. v. Internal Revenue Service, et al., Civil Action No. H-25-2570, United States District Court, S.D. Texas, Houston Division (April 15, 2026) Plaintiffs (Drake Plastics Ltd. Co.; Drake Insurance Co., a captive insurer; and Strategic Risk Alternatives, LLC, a micro-captive manager/advisor) challenged Treasury/IRS’s January 14, 2025 final rule imposing disclosure requirements for certain micro-captive transactions. The Final Rule created two disclosure categories with different criteria and penalty consequences:

1. micro-captive “transactions of interest” (26 C.F.R. § 1.6011-11) and
2. “listed” micro-captive transactions (26 C.F.R. § 1.6011-10).

The plaintiffs moved for vacatur of the Final Rule; a declaratory judgment; a permanent injunction barring the defendants from enforcing the Final Rule against the plaintiffs, their clients, and affiliates; and a permanent injunction requiring the defendants to destroy or return all materials provided in response to the Final Rule
CAPTIVE INSURANCE AND THE INTERNAL REVENUE CODE

The common-law definition of “insurance” is based on the traditional characteristics of an insurance transaction. Those are: risk-shifting; risk-distribution; insurance risk; and whether an arrangement looks like commonly accepted notions of insurance.

Captive insurance transactions allow corporate entities to claim payments to their affiliated insurers as a business expense. If the affiliated insurer receives premium payments below a statutory cap, that insurer can elect tax benefits of the Internal Revenue Code. Captives that elect § 831(b) benefits are commonly called “micro-captives.”

The rule uses objective criteria, including a Relationship Test (related ownership), a Financing Factor (funds returned to insured/related parties without taxable gain), and a Loss-Ratio Factor (modified loss ratio thresholds, generally 60% for transactions of interest and 30% for listed transactions; listed status also requires at least ten years).

Plaintiffs argued the rule exceeded statutory authority and was arbitrary and capricious and they sought vacatur and injunctive relief.

LAW

Courts set aside agency action that is in excess of statutory jurisdiction, authority, or limitations, or arbitrary [or] capricious.

Taxpayers must file returns/statements required by Treasury regulations. Civil penalties apply for failure to disclose “reportable transactions” and “listed transactions.”

The Reportable transaction standard is a transaction “of a type” the Secretary determines has a potential for tax avoidance or evasion.

The Listed transaction standard is a reportable transaction specifically identified as a tax avoidance transaction carrying higher penalties than other reportable transactions.

Insurance tax backdrop: premium payments may be deductible only if really for insurance and sham/non-insurance arrangements do not qualify for the tax benefits.

ANALYSIS / DISCUSSION

Statutory authority—transactions of interest (§ 1.6011-11):

The court held Treasury/IRS acted within § 6707A(c)(1) because the agency may require disclosure for transactions “of a type” with a potential for tax avoidance/evasion, even if some covered transactions are legitimate. The administrative record (including multiple tax court decisions and the agency’s explanation of how certain features resemble self-insurance or circular cashflows) supported the conclusion that the covered category may not be “really for insurance.”

Statutory authority—listed transactions (§ 1.6011-10):

The court held Treasury/IRS exceeded § 6707A(c)(2) because listed transactions must be presumptively tax-avoidant (more than mere “potential”), and the Final Rule/record lacked a statutorily required finding (and supporting data) that the transactions captured by § 1.6011-10 are more often than not tax-avoidance (i.e., presumptively not “really for insurance”). Identifying “typical features” of abuse was not enough without evidence that the rule predominantly captures abusive transactions.
Arbitrary-and-capricious challenge (§ 1.6011-11):

The court rejected plaintiffs’ claim that the Financing Factor and Loss-Ratio Factor were impermissibly overinclusive. It accepted the agency’s explanation that administrable, objective factors can reasonably “overshoot” in a prophylactic disclosure regime, particularly given the relatively low reporting burden. The court found the Relationship Test, Financing Factor, and Loss-Ratio Factor were reasonably explained and supported by the record.
Remedy:

Because § 1.6011-10 was codified separately and operated independently from § 1.6011-11, the court severed and vacated only § 1.6011-10, declared it unlawful, and remanded to the agency. The court denied broad injunctive relief as unnecessary given vacatur and because § 1.6011-11 remained in force.

CONCLUSION

Captive-insurance arrangements pose a potential for abuse because they combine the separate benefits that Congress enacted in §§ 162(a) and 831(b). The insured party can deduct its premium payments as business expenses, and the insurer can exclude up to $2.2 million of those premiums from its own taxable income.” The result is that the money does not get taxed at all and can be reused by the insurer for the insured’s financial benefit.

Plaintiffs received partial summary judgment: the court vacated and declared unlawful the “listed transaction” regulation for exceeding statutory authority (lack of required showing that covered transactions are presumptively tax-avoidant). The court upheld the “transaction of interest” regulation as within statutory authority and not arbitrary/capricious. Vacatur of § 1.6011-10 was stayed until May 1, 2026; the case was remanded for further agency action consistent with the opinion.

The court granted in part the plaintiffs’ motion for summary judgment and a permanent injunction and grants in part the defendants’ cross-motion for summary judgment. The defendants:

1. appropriately designated micro-captive transactions as transactions of interest through 26 C.F.R. § 1.6011-11; but
2. exceeded their statutory authority in designating micro-captive transactions as listed transactions through 26 C.F.R. § 1.6011-10.

The court declared unlawful 26 C.F.R. § 1.6011-10 and vacated it.

ZALMA OPINION

Captive insurance is not like insurance companies that seek to profit from the business of insurance. It is the creation of a insured owned and operated insurance designed to avoid tax by allowing the insured to deduct the premiums paid and the captive insurer also pays little in the way of tax. The Insured and its captive insurer won part of its claims and lost some. The USDC teaches that a captive insurer can challenge the IRS and win and save reporting and paying some taxes.

(c) 2026 Barry Zalma & ClaimSchool, Inc.

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00:10:39
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May 11, 2026
Severe Punishment for Failure to Obey Court Orders

Foolish to Repeatedly Disobey Court Orders

All That Remains For Trial Is Plaintiff’s Damages On Each Of These Claims And Establishing Proximate Causation Of Those Damages.

Post number 5348

See the full video at and at and at https://zalma.com/blog plus 5300 posts.

In Linh Wang v. Esurance Insurance Company, No. C24-0447-JCC, United States District Court, W.D. Washington, Seattle (May 1, 2026) John C. Coughenour, United States District Judge, found that throughout this case, culminating with its briefing on Plaintiff’s renewed motion and that Defendant has subjected Plaintiff to unnecessary motion practice for clearly discoverable information and made dubious representations (including to the Court).

FACTUAL BACKGROUND

This case involves an underinsured/uninsured motorist insurance bad faith claim arising from a 2017 motor vehicle collision. The plaintiff, Linh Wang, alleges that Esurance Insurance ...

00:08:27
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May 08, 2026
Ambiguous Contract to Repair not an Assignment

The Right to Negotiate with Insurer is Not an Assignment of Claims

Post number 5347

Read the full article at https://www.linkedin.com/pulse/ambiguous-contract-repair-assignment-barry-zalma-esq-cfe-2xppc, see the full video at https://rumble.com/v79is1s-ambiguous-contract-to-repair-not-an-assignment.html and at and at https://zalma.com/blog plus more than 5300 posts.

Nebraska Requires an Actual Assignment to Allow Contractor to Sue Insurer

In Millard Gutter Company, a corporation doing business as Millard Roofing and Gutter v. Farmers Mutual Insurance Company of Nebraska, also known as Farmers Mutual Insurance, also known as Farmers Mutual, No. A-24-818, Court of Appeals of Nebraska (May 5, 2026) Millard sued Farmers as an assignee of Jane Anzalone who had hired Millard Gutter to repair the roof of her home and agreed to allow Millard Gutter to coordinate with her insurer, Farmers Mutual, concerning reimbursement for repairs authorized under her insurance policy.

FACTUAL BACKGROUND

In ...

00:08:02
May 08, 2026
Admit to Crime & Be Ready to do The Time

Attempt to Withdraw Plea After Sentencing Fails

Post number 5346

Read the full article at https://www.linkedin.com/pulse/admit-crime-ready-do-time-barry-zalma-esq-cfe-hgyce, see the video at and at and at https://zalma.com/blog plus more than 5300 posts.

Stealing from Insurers and Employer Gets Defendant Five Years in Prison

In State of Wisconsin v. Jacquelyn R. Harris, No. 2025AP489-CR, Court of Appeals of Wisconsin (April 22, 2026) Harris pled no contest and was found guilty. She was sentenced to five years of initial confinement and three years of extended supervision, with restitution ordered in the amounts of $31,086 to Kaliber and $25,000 to Erie Insurance Company.

FACTUAL BACKGROUND

In late 2022, Jacquelyn R. Harris was charged with theft in a business setting under WIS. STAT. § 943.20(1)(b) (2023-24). Harris, while employed as the office manager for Kaliber Collision Repair in Port ...

00:07:02
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16 hours ago

Plaintiff May Try Again to get a Judgment
Posted on May 22, 2026 by Barry Zalma
Just Because a Defendant Defaults Evidence is Needed to get a Judgment

Even on a Default Motion the Plaintiff Must Do More Than Rely on Conclusory Allegations.
Post number 5356

The Commissioners Of The State Insurance Fund v. Capcon Construction Industries Corp., Capcon Construction Supply Corp., Jab Masonry Corp., Agra Masonry Inc., Agra Industries Usa Corp, A & A Masonry Corp., Alexander Shvartsberg, Darren Caputo, Maryann Furman, Index No. 452680/2024, MOTION SEQ. No. 003, 2026 NY Slip Op 31767(U), Supreme Court, New York County (April 20, 2026)
FACTS

The Commissioners of the State Insurance Fund (SIF) had already obtained two judgments for unpaid workers’ compensation insurance premiums: one against A\&A Masonry Corp. and another, much larger one, against Agra Masonry Inc. SIF then brought this action against several related corporations and individuals, alleging that they all operated as a single de facto enterprise and that assets had ...

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May 21, 2026
Proactive Insurer Makes a Fraudster Pay

Defaulting Fraud Perpetrator Lets Insurer Defeat Fraud
Post number 5355

Posted on May 21, 2026 by Barry Zalma

In Transamerica Life Insurance Company v. John Joseph Egan, et al., No. 25-cv-06167-JD, United States District Court, N.D. California (May 12, 2026) Transamerica Life Insurance Company issued John Egan a life insurance policy with a long-term care rider that covered in-home skilled nursing or other professional care if he qualified as chronically ill.

FACTUAL BACKGROUND

In 2023, Egan submitted a claim alleging severe pain, major loss of daily functioning, and limited mobility following an auto accident. Transamerica approved coverage and paid benefits based on those representations and repeated proofs of loss describing in-home care services. After later surveillance in 2024 and 2025 showed Egan working, driving, shopping, and otherwise functioning without visible impairment — and showed no evidence of in-home care — Transamerica concluded that the claim was fraudulent and filed suit.

Transamerica surveilled ...

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May 21, 2026
Proactive Insurer Makes a Fraudster Pay

Defaulting Fraud Perpetrator Lets Insurer Defeat Fraud
Post number 5355

Posted on May 21, 2026 by Barry Zalma

In Transamerica Life Insurance Company v. John Joseph Egan, et al., No. 25-cv-06167-JD, United States District Court, N.D. California (May 12, 2026) Transamerica Life Insurance Company issued John Egan a life insurance policy with a long-term care rider that covered in-home skilled nursing or other professional care if he qualified as chronically ill.

FACTUAL BACKGROUND

In 2023, Egan submitted a claim alleging severe pain, major loss of daily functioning, and limited mobility following an auto accident. Transamerica approved coverage and paid benefits based on those representations and repeated proofs of loss describing in-home care services. After later surveillance in 2024 and 2025 showed Egan working, driving, shopping, and otherwise functioning without visible impairment — and showed no evidence of in-home care — Transamerica concluded that the claim was fraudulent and filed suit.

Transamerica surveilled ...

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