TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN
NO. 03-01-00371-CV
Texas Workers’ Compensation Insurance Facility, Appellant
v.
Comptroller of Public Accounts and The Attorney General of the State of Texas,1 Appellees
FROM THE DISTRICT COURT OF TRAVIS COUNTY, 126TH JUDICIAL DISTRICT
NO. 97-03602, HONORABLE PAUL DAVIS, JUDGE PRESIDING
Appellant Texas Workers’ Compensation Insurance Facility (the Facility) seeks a
refund of roughly $24,000,000 from the Comptroller for taxes it claims it paid. The tax at issue is
the maintenance tax surcharge paid by insurance companies that write workers’ compensation
insurance policies. See Tex. Ins. Code Ann. art. 5.76-5, § 10(a)(1) (West Supp. 2002). Although
the Facility was an association of workers’ compensation insurance companies, it was not an
insurance company itself and thus was not subject to the tax. See id. § 10(a). It was, however,
required to reimburse its member companies for the taxes they paid. See 28 Tex. Admin. Code
1
A suit for a tax refund must be brought against both the Comptroller of Public Accounts
and the Attorney General. Tex. Tax Code Ann. § 112.151 (West 1992).
§ 1.411 (1993) (repealed) (“Rule 1.411”).2 The Facility asserts that it is entitled to a refund because:
(1) it effectively paid the tax by reimbursing the member companies even though it was not subject
to the tax; and (2) the Department of Insurance exceeded its authority by adopting Rule 1.411, which
required the Facility to reimburse the companies for the tax when the Facility was not itself subject
to the tax under article 5.76-5, section 10(a). See Tex. Ins. Code Ann. art. 5.76-5, § 10(a) (West
Supp. 2002).
We hold that: (1) the member insurance companies, not the Facility, paid the tax; (2)
Rule 1.411 is valid and the Facility’s reimbursement obligation was a lawful component of the
legislative scheme under which the Facility operated; (3) the Facility’s role in reimbursing its servicing
companies does not convert the Facility into a taxpayer; and (4) the Facility has not met the statutory
prerequisite for a tax refund. We therefore reject the Facility’s claim for a tax refund and affirm the
judgment of the trial court.
The Involuntary Market
Under the Texas Workers’ Compensation Act, an employer may obtain workers’
compensation insurance coverage through a licensed insurance company or, in certain instances,
through self-insurance. See Tex. Labor Code Ann. § 406.003 (West 1996). Many employers who
are unable to purchase insurance in the private voluntary market also are ineligible to self-insure.
2
The tax collection division of the Department of Insurance was transferred to the Office of
the Comptroller. See Act of May 30, 1993, 73d Leg., R.S., ch. 685, § 3.01, 1993 Tex. Gen. Laws
2559, 2576. The Comptroller subsequently adopted Rule 1.411 as Rule 3.804; neither rule remains
in force, however, as maintenance tax rates are re-determined each year. See 21 Tex. Reg. 9434
(1996).
2
Since 1953, the Texas legislature has prescribed a variety of “residual” or “involuntary” market
mechanisms to afford coverage to these “rejected risks,” that is, those employers who are unable to
obtain workers’ compensation insurance through ordinary methods in the voluntary market. See Act
of May 14, 1953, 53d Leg., R.S., ch. 279, § 1, 1953 Tex. Gen. Laws 716, 716-18, repealed by Act
of Dec. 11, 1989, 71st Leg., 2d C.S., ch. 1, § 16.01(21), 1989 Tex. Gen. Laws 1, 114-15.
The legislative scheme has changed over the years. The coverage was initially
provided by the Texas Workers’ Compensation Assigned Risk Pool,3 then by the Facility,4 and
currently by the Texas Mutual Insurance Company,5 which was initially established as the Texas
Workers’ Compensation Insurance Fund.6 From the beginning, the legislative design has remained
constant in one regard: The cost of providing involuntary coverage was placed on all insurance
companies that write workers’ compensation policies as a proportional cost of their business in the
3
See Act of May 14, 1953, 53d Leg., R.S., ch. 279, § 1, 1953 Tex. Gen. Laws 716, 716-18,
repealed by Act of Dec. 11, 1989, 71st Leg., 2d C.S., ch. 1, § 16.01(21), 1989 Tex. Gen. Laws 1,
114-15.
4
See Act of Dec. 11, 1989, 71st Leg., 2d C.S., ch. 1, § 13.11, 1989 Tex. Gen. Laws 1, 89
(adding former Insurance Code article 5.76-2), amended by Act of Aug. 25, 1991, 72d Leg., 2d C.S.,
ch. 12, § 18.07, 1991 Tex. Gen. Laws 252, 342-350, repealed by Act of June 1, 1997, 75th Leg.,
R.S., ch. 594, § 3.01(1), 1997 Tex. Gen. Laws 2076, 2081 (repealing former Insurance Code article
5.76-2). For convenience and because the parties cite to the now repealed article 5.76-2 of the
Insurance Code, we will cite to former article 5.76-2 throughout this opinion.
5
See Act of May 27, 2001, 77th Leg. R.S., ch. 1195, § 2, 2001 Tex. Gen. Laws 2701, 2701
(West) (currently codified at Tex. Ins. Code Ann. art. 5.76-3, § 2 (West Supp. 2002))
6
See Act of Aug. 25, 1991, 72d Leg., 2d C.S., ch. 12, § 18.18, 1991 Tex. Gen. Laws 252,
358, (now codified, as amended, at Tex. Ins. Code Ann. art. 5.76-4 (West Supp. 2002)).
3
state, 7 not on taxpayers generally. Indeed, the legislature has expressly prohibited the expenditure
of public funds for costs associated with providing involuntary insurance.8
The Facility
The Facility, which was responsible for providing involuntary insurance from 1991
through 1993, was a non-profit association that all independent insurance companies licensed to write
workers’ compensation insurance in Texas were required to join. See Act of Dec. 11, 1989, 71st
Leg., 2d C.S., ch. 1, § 13.11, 1989 Tex. Gen. Laws 1, 89-97 (amended 1991, repealed 1997)
(formerly codified as Texas Insurance Code art. 5.76-2) (hereafter art. 5.76-2). More than three
hundred such insurance companies were authorized by the Board of Insurance as eligible “servicing
companies” of the Facility. See art. 5.76-2, §§ 1.01(11), 4.08. After determining that a company was
entitled to involuntary coverage, the Facility would contract with one of its servicing companies, who
in turn issued and serviced the policy, including auditing and collecting premiums, on its behalf. See
7
See Act of Apr. 9, 1953, 53d Leg., R.S., ch. 279, § 1, 1953 Tex. Gen. Laws 716, 717
(repealed 1989) (stating that “[i]t shall be the duty of companies and associations, [that is,] members
of the [Pool] . . . to provide insurance . . . for any risk under the Workmen’s Compensation Law of
Texas . . . which risk shall have been tendered to and rejected by any member of [the Pool]”); art.
5.76-2, §§ 2.06, 4.03) (providing that the Facility shall pay all of its operational costs and the costs
of operating and maintaining the rejected risk fund); Tex. Ins. Code Ann. art. 5.76-5 (West Supp.
2002) (authorizing issuance of revenue bonds to fund workers’ compensation insurance coverage,
and assessing a maintenance tax surcharge to finance the bonds on workers’ compensation insurers
and the Fund).
8
See, e.g., art. 5.76-2, §§ 2.06, 4.03 (prohibiting the payment of public funds for costs or
expenses incurred in the operation and maintenance of the facility or of the rejected risk fund).
4
art. 5.76-2, §§ 1.01(11), 4.02(b); see also All Star Metal & Roofing, Inc. v. Texas Dep’t of Ins., 935
S.W.2d 186, 187, n.2 (Tex. App.—Austin 1996, no writ). The Facility ceased writing workers’
compensation insurance on December 31, 1993, and the Fund replaced it as the insurer of last resort.9
Although the legislature terminated the Facility in favor of the Fund, it maintained the
statutory scheme of making insurance companies responsible for the cost of the involuntary market.
In 1991, it enacted a law requiring the Texas Public Finance Authority to issue revenue bonds to
finance the creation of the Fund. See Act of Aug. 25, 1991, 72d Leg., 2d C.S., ch. 12, § 18.19, Tex.
Gen. Laws 252, 358 (currently codified at Tex. Ins. Code Ann. art. 5.76-5 (West Supp. 2002)).10 All
insurance companies collecting workers’ compensation premiums must pay a proportionate share of
the cost of servicing the bonds by paying a maintenance tax surcharge based on their correctly
reported gross premiums. See Tex. Ins. Code Ann. arts. 5.76-5, § 10(b), 5.68 (West Supp. 2002).11
These provisions were in effect during the final years of the Facility’s existence. The
servicing companies paid the surcharge and the Facility was required to reimburse them. See Rule
1.411(d)(1). Likewise, the Facility was entitled to recoup the reimbursed amounts from policy
9
In 1997, a law was enacted that converted the Facility into a stock insurance company and
transferred control to a third party. See Act of June 1, 1997, 75th Leg., R.S., ch. 594, §§ 1.01-1.14,
1997 Tex. Gen. Laws 2076, 2076-2079. The Facility is now the Facility Insurance Company (FIC).
FIC is authorized to enforce the rights and powers of the Facility. Id. §§ 1.01, 1.06. The Act further
provides that causes of action by the Facility are unaffected by the conversion but continue to be
governed by former article 5.76-2. See id. § 1.06(f).
10
In addition, the bonds are to: “(1) establish the initial surplus of the fund; (2) establish and
maintain reserves; (3) pay initial operating costs; (4) pay costs related to issuance of the bonds; and
(5) pay other costs related to the bonds as may be determined by the [Texas Public Finance
Authority].” Tex. Ins. Code Ann. art. 5.76-5, § 3 (West Supp. 2002).
11
Also subject to the surcharge are self-insurers and the Fund. Tex. Ins. Code Ann. art. 5.76-
5, § 10(a) (West Supp. 2002).
5
holders by setting premium rates to reflect the surcharge. See Tex. Ins. Code Ann. art. 5.76-5,
§ 10(d) (West Supp. 2002) (authorizing insurance companies to pass the cost of the surcharge
through to their policy holders); Rule 1.411(d)(2) (mandating that insurance companies that are also
servicing companies of the Facility must implement the section 10(d) pass-through procedure and
remit all funds received to the Facility). In the last year of its operation, the Facility decided to
impose a recoupment rate of three percent on policy holders even though this was inadequate to
cover surcharge costs and a shortfall resulted.12
Under the Facility’s governing statute, it passed through any operational deficit or
surplus to its members in the form of an assessment or rebate; the Facility also had the option of
recovering a deficiency through involuntary insurance rates. See art. 5.76-2, §§ 4.04;13 4.05(e). Rule
1.411 reflected the Facility’s governing statute by authorizing the Facility to recover a deficiency
between the cost of the surcharge and the amount recouped from the insureds either by assessments
against its members or recovery through its rates. See Rule 1.411(d)(4). The Facility previously
assessed its members for the approximately $24,000,000 deficiency at issue here. The Facility now
seeks to recover this money again in the form of a tax refund.
The Facility asserts that it reimbursed the servicing companies a total of $40,874,608
for surcharges paid in 1992, 1993, and 1994. Of that amount, $16,665,658 was recouped from policy
12
The Facility’s private auditor had recommended a six percent recoupment rate.
13
The legislation that established the Facility as the insurer of last resort originally allowed
the entity to pass through any operational deficits to its members. See Act of Dec. 11, 1989, 71st
Leg., 2d C.S., ch. 1, § 13.11, 1989 Tex. Gen. Laws 1, 89-97 (amended 1991, repealed 1997).
Subsequent amendments to the Facility’s governing statute additionally provided for operational
surpluses to be rebated to members. See Act of Aug. 25, 1991, 72d Leg., 2d C.S., ch. 12, § 18.13,
1991 Tex. Gen. Laws 252, 345 (repealed 1997).
6
holders, causing the Facility to seek a refund of the remaining $24,208,950. In the alternative, it
seeks a partial refund for reimbursements of $5,110,924 paid in 1993 and 1994. It asserts that
$3,928,081 was reimbursed in 1994, but because the Facility ceased writing policies at the end of
1993, it was unable to recoup any of that amount from policy holders. It also states that $1,182,843
paid as reimbursement in 1993 could not be recouped because the Facility’s policies were rapidly
dwindling in number toward the end of 1993. Together, this totals $5,110,924. The Comptroller
disagrees that the Facility was unable to make up the difference because of declining policies; instead,
the Comptroller maintains that the Facility had the opportunity to recover the deficiency but
deliberately chose to set an inadequate recoupment rate. In summary, the Facility seeks either a full
refund of all reimbursements paid in the amount of $24,208,950, or a partial refund of $5,110,924
for reimbursements paid in 1993 and 1994 that the Facility claims it was unable to recoup because
it had ceased writing policies.
The Facility first sought a refund from the Comptroller. See Tex. Tax Code Ann.
§ 111.104(a) (West Supp. 2002). After the Comptroller denied the claim, the Facility filed suit in
district court seeking the refund. See id. § 112.151 (West Supp. 2002) (authorizing suit); Tex. Tax
Code Ann. § 112.154 (West 1992) (providing for a trial de novo). Both the Facility and the
Comptroller filed cross-motions for summary judgment. The trial court denied the Facility’s motion
but granted the Comptroller’s motion. The Facility raises three issues. In its first and second issues,
it asserts that the court erred in denying its motion and granting the Comptroller’s motion. It
challenges certain evidentiary rulings in its third issue.
DISCUSSION
7
Standard of Review
A defendant moving for summary judgment must establish as a matter of law that there
is no genuine issue of material fact as to one or more of the essential elements of the plaintiff’s cause
of action. Wilmer v. Laidlaw Waste Sys. (Dallas), Inc., 890 S.W.2d 459, 463 (Tex. App.—Dallas
1994), aff’d, 904 S.W.2d 656 (Tex. 1995); Starcrest Trust v. Berry, 926 S.W.2d 343, 354 (Tex.
App.—Austin 1996, no writ). A plaintiff, as movant in a summary judgment proceeding, has the
burden of showing that no genuine issue of material fact exists and that it is entitled to judgment as
a matter of law. Nixon v. Mr. Prop. Mgmt. Co., 690 S.W.2d 546, 548 (Tex. 1985); Wilmer, 890
S.W.2d at 463. In deciding whether a disputed material fact issue exists, we accept as true evidence
favorable to the nonmovant. Nixon, 690 S.W.2d at 548-49. We indulge every reasonable inference
and resolve any doubts in the nonmovant’s favor. Id. at 549. When the parties file competing
motions for summary judgment and one is granted and the other denied, the reviewing court should
review the summary-judgment evidence presented by both sides and determine all questions
presented. Commissioners Court v. Agan, 940 S.W.2d 77, 81 (Tex. 1997).
Evidentiary Issues
The Facility objected to the affidavits and a deposition of Gary Johnson, an employee
in the Comptroller’s office, and Nancy Moore, Deputy Commissioner of the Workers’ Compensation
division of the Department of Insurance. The Facility asserted that portions of the affidavits and
deposition were conclusory and thus insufficient to support summary judgment. See Tex. R. Civ. P.
8
166a(f).14 Although the Facility renews its objections to this evidence on appeal, it brings the
evidentiary issues “primarily to keep the record clean.” The trial court explained at the hearing on
the Facility’s objections that it was not admitting the evidence as proof of the legally correct
interpretation of the statute or rule, but rather as evidence of the Department’s characterization of
a statute or of its own policy. Nevertheless, the Facility wants to protect against the impression that
the evidence was relied on by the trial court as the definitive interpretation of a statute or rule. We
are aware of, and the record reflects, the limited purposes for which the evidence was admitted. We
therefore overrule the Facility’s third issue.
Who Paid the Tax?
The Facility goes to great lengths to explain that it was not an insurance company and
thus was never subject to the tax. See Tex. Ins. Code Ann. art. 5.76-5, § 10(a) (West Supp. 2002)
(expressly providing for the surcharge to be assessed against three entities, none of which is the
Facility). Therefore, it argues that it should receive a refund of the amount it reimbursed its servicing
companies for the tax, reasoning that by reimbursing its companies, it effectively paid the tax. The
Comptroller agrees that the Facility was not an insurance company. It responds, however, that the
Facility’s argument misses the point because the liability for the surcharge did not stem from a tax
assessed against the Facility; rather, the liability was imposed on the insurance companies as a cost
of doing business in the state. See id. § 10.
14
“Supporting and opposing affidavits [for summary judgment] shall be made on personal
knowledge, shall set forth such facts as would be admissible in evidence, and shall show affirmatively
that the affiant is competent to testify to the matters stated therein.” Tex. R. Civ. P. 166a(f).
9
Although the Facility’s governing statute did not mandate that its servicing companies
be insurance companies, see article 5.76-2, sections 1.01(11), 4.08, all of its servicing companies
were. As insurance companies, the servicing companies were subject to the maintenance tax
surcharge; the surcharge was based on both their voluntary business and their policies written through
the Facility. See Tex. Ins. Code Ann. art. 5.76-5, § 10 (West Supp. 2002); Rule 1.411(a). As
servicing companies, they were entitled to reimbursement from the Facility for the surcharge paid on
Facility business. See Rule 1.411(d)(1). Rule 1.411 implemented section 10 of Insurance Code
article 5.76-5 by establishing the rate of the maintenance tax surcharge; it also established specific
procedures to govern the Facility and its servicing companies. See Rule 1.411(a), (d). At the hearing
to consider and adopt Rule 1.411, Nancy Moore, representing the Department of Insurance,
explained:
Subpart (d) addresses the Workers Compensation Insurance Facility and how they
[sic] will handle the recoupment with their servicing companies. Because the facility
reinsures 100 percent of the business written through its servicing companies the
proposed amendment would require the facility to reimburse each servicing company
for the proportion of its surcharge which was attributable to their facility business.
Thereafter the servicing company must collect the recoupment from its policy holders
through the add-on method and remit the amount collected to the facility.15
(Emphasis added.) The provisions of Rule 1.411 and the comments during the proceedings clearly
indicate that the Facility was not directly liable for the tax. The Facility has admitted that it never
remitted the surcharge to the Comptroller or Department of Insurance. While the Facility was
15
A representative for the Facility had attended a previous hearing to consider the proposed
rule.
10
required to reimburse its servicing companies, its obligation to do so was an incident of its statutory
and contractual relationship with the companies, against whom the surcharge was directly assessed.
The Facility did not stand in a direct taxpayer relationship with the Comptroller and its reimbursement
to the servicing companies cannot establish this relationship. See Tex. Tax Code Ann. § 111.104(a)
(West Supp. 2002) (stating that the comptroller shall credit any amount of tax erroneously or
unlawfully collected “against any other amount when due and payable by the taxpayer from whom
the amount was collected) (emphasis added).
The Facility then argues that its servicing companies paid the tax as agents of the
Facility and thus the Facility paid the tax. The Comptroller responds that there is no evidence
indicating that the servicing companies paid the surcharge on behalf of the Facility. The tax does not
distinguish between an insurance company’s liability for its voluntary and involuntary business. See
Tex. Ins. Code Ann. art. 5.76-5, § 10 (West Supp. 2002); see also Rule 1.411(a)(2),(3). Nor did the
servicing companies distinguish or apportion their liability for Facility policies according to the
affidavit of Gary Johnson, an employee with the Comptroller’s office. Johnson similarly testified
during his deposition. Attached to Johnson’s affidavit were two sample returns of servicing
companies. The returns do not show separate categories for Facility and voluntary business for
purposes of reporting the maintenance tax surcharge.
The Comptroller’s evidence indicates that the insurance companies paid the surcharge
on Facility business as part of the tax on their total gross premiums. This undermines the Facility’s
suggestion that the companies paid any tax as the Facility’s agents. Moreover, the Facility seems to
concede this point in another part of its brief when it states that “[a]lthough servicing companies were
11
authorized to perform essential functions of the Facility, they are not subject to the maintenance tax
in that capacity.” We hold that the servicing companies paid the surcharge; the Facility did not.
Validity of Rule 1.411
Although the Facility followed the procedure established by Rule 1.411 during its
operations without complaint, it now contends that the rule was invalid. The Facility reasons that
since the statutory provision authorizing the maintenance tax surcharge does not list the Facility as
one of the entities subject to the tax, it was outside of the Department’s authority to make it liable
for reimbursement of the tax under Rule 1.411.
The Comptroller responds first that the Facility has waived any complaint regarding
the rule because it failed to challenge it within 30 days of its enactment, as it would have been
required to do under its former statute. See art. 5.76-2, § 2.09(a).16 The Comptroller also contends
that the Facility should be estopped from challenging Rule 1.411 because it acquiesced in the rule by
accepting recoupment when the cost of reimbursing the insurance companies was passed through to
policy holders and remitted to the Facility. See Rule 1.411(d)(2). Finally, the Comptroller maintains
the Department of Insurance properly required it to make the reimbursement as part of the statutory
scheme of maintaining an involuntary market. We will assume without deciding that the Facility may
complain about the validity of Rule 1.411 in this appeal and will uphold the rule.
16
“If the fund or facility is adversely affected by an act or decision of the board, it may make
a written request for reconsideration to the board not later than the 30th day after the act or
decision.” Art. 5.76-2, § 2.09(a).
12
Rule 1.411 was promulgated by the Department under the authority of article 5.76-2
and Insurance Code article 5.76-5 to implement the maintenance tax surcharge. See Rule 1.411; see
also American Home Assurance v. Texas Dep’t of Ins., 907 S.W.2d 90, 92 (Tex. App.—Austin 1995,
writ denied). We have previously approved Rule 1.411 in a related challenge. See American Home
Assurance, 907 S.W.2d at 96-97. In that case, we concluded that Rule 1.411 effectuated the
legislative purpose of the statutory pass-through provision and was a “reasonable interpretation of
the statute by officials assigned responsibility for administering the scheme.” Id. at 96.
Furthermore, the Comptroller argues that as a quasi-public entity created by legislative
decree, the Facility was obligated to operate pursuant to its governing statute and rules adopted by
the Department of Insurance, including Rule 1.411.17 The Comptroller maintains that the Facility,
through its successor entity, should not now be allowed to circumvent those rules. The Facility’s
former governing statute makes it clear that the Facility existed subject to the plenary authority of the
Board of Insurance,18 and later, the Department of Insurance.19 In addition, the Comptroller contends
17
See Southwest-Tex Leasing Co., Inc. v. Bomer, 943 S.W.2d 954, 959 n.5 (Tex.
App.—Austin 1997, no writ) (explaining that the Facility, “although not a state agency, is essentially
an arm of the State”).
18
The Board of Insurance was replaced by the Department of Insurance. See Act of May
30, 1993, 73d Leg., R.S., ch. 685, § 1.02, 1993 Tex. Gen. Laws 2559, 2561. For convenience, we
will use the term “the Department” to refer to both the former and current agency.
19
See, e.g., art. 5.76-2, § 2.01 (providing that “[f]or the purpose of carrying into effect the
provisions of this article and with the approval of the board [of insurance], the Texas workers’
compensation assigned risk pool is revised, amended, and continued as the . . . [F]acility”); § 2.04(a)
(stating that the Facility’s adoption, amendment and repeal of bylaws, rules and regulations are
subject to approval by the Board); § 2.04(b) (stating that such adoption, amendment and repeal
become effective on approval of the Board); § 2.04(c) (stating that “[a]ll bylaws, rules, and
regulations of the [F]acility shall be subject to the continuing jurisdiction of the [B]oard”); see also
Southwest-Tex Leasing Co., Inc., 943 S.W.2d at 956 n.1 (explaining that the “Insurance Code directs
13
that the rule was within the purview of the Department’s authority to regulate servicing companies.
It points to provisions in the Facility’s former governing statute that specifically concern the
Department’s authority regarding the servicing companies. That statute gave the Department the
power to “establish standards, qualifications, requirements, and all other particulars regarding
servicing companies necessary to service the fund adequately.” See art. 5.76-2, § 4.08(a).
Further, the Comptroller provided evidence that the Facility’s reimbursement
obligation was consistent with the legislative scheme of rejected risk insurance. The legislature
decreed that the Facility would bear all operating costs and expenses; according to the Comptroller,
reimbursement was one of its expenses. See art. 5.76-2, § 2.06 (requiring the Facility to “pay all costs
and expenses of operating and maintaining the [F]acility”). The same section iterates that “[f]unds
of this state shall not be appropriated or expended for payment of any costs or expenses incurred in
the operation or maintenance of the [F]acility.” See id. The Comptroller argues that it would be in
contravention of public policy to allow the Facility, after it has been legislatively terminated, to
recover expenses it was obligated to bear when it was the statutory insurer of last resort. Although
the legislation that authorized the conversion of the Facility into FIC protects the rights of the
successor entity, it does not give the Facility greater rights now than those it possessed as insurer of
last resort. See Act of June 1, 1997, 75th Leg., R.S., ch. 594, §§ 1.01-1.14, 1997 Tex. Gen. Laws
2076, 2076-79.20
servicing companies to issue policies on forms prescribed by the Facility and dictates that the policies
are to be treated exclusively in accordance with rules adopted by the [Department]”).
20
Indeed, the same provision that authorizes the continued prosecution of lawsuits initiated
by the Facility also provides that any such cause of action “continues to be governed by and
conducted under Article 5.76-2, Insurance Code, as that article existed before its repeal, and the
14
The Facility responds that it is not seeking to recover costs or expenses of the Facility
because it seeks a refund of taxes. The Comptroller again points out that the Facility never paid the
surcharge, and also notes that it was recognized during the Facility’s existence that the servicing
companies were responsible for taxes on their premiums for business written through the Facility just
as they were for their voluntary business. See, e.g., Aetna Cas. & Sur. Co. v. State Bd. of Ins., 898
S.W. 2d 930, 934-35 (Tex. App.—Austin 1995, writ denied) (quoting the Facility’s Servicing
Company Agreement, which states in part that “[a]ll costs and expenses incident to its functions as
a Servicing Company and the servicing of risks assigned to it, including but not limited to office
maintenance, salaries, personnel expenses, and the payment of premium tax and bureau assessments,
shall be paid by Carrier” with the exception of authorized legal expenses).
In addition, the Comptroller produced evidence that the Facility treated the deficiency
as part of its expenses. The Comptroller included with its motion a copy of the Facility’s 1993 annual
report. In the ledger, the shortfall in recoupment is listed as an expense. Its financial statements
include “unrecoverable maintenance tax” in the “losses and expenses” column. In the “notes to
combined financial statements,” the Facility stated, “All costs and expenses of operating and
maintaining the Facility are the responsibility of Facility members. Annually, an assessment is made
by the Facility to each member to recoup costs and expenses of the Facility not covered by
operations.” Under the heading “Maintenance Taxes,” the Facility explained that “[b]ecause of
declining premium volume, the Facility anticipates that a portion of the amount applicable to Facility
applicable bylaws, rules, and regulations of the facility, as amended by the converted facility.” Act
of June 1, 1997, 75th Leg., R.S., ch. 594, § 1.06(f), 1997 Tex. Gen. Laws 2076, 2077.
15
business will not be recovered and, accordingly, has included charges . . . in the . . . statements of
operations.” Therefore, the Facility’s own conduct and the policy expressed in its former governing
statute prohibit us from reaching the result the Facility desires.
Furthermore, the Facility has admitted that it has already assessed its member
companies for the deficiency between the amount it reimbursed the companies and the amount it
recouped from its insureds. It then entered into assignment agreements with its former members;
under the agreements, the companies assigned their right to any refund of the surcharge to the Facility
and thus the Facility seeks the refund on its own behalf. If it succeeds on its claim for a refund, it will
have been paid twice. The Facility responds that it may eventually return any refund it recovers to
its former members who are now shareholders of the corporation that ultimately acquired the Facility.
As shareholders, the former members may “receive dividends contingent upon [the Facility’s] ability
to collect certain receivables of in excess of $15 million” and have the right to “a special dividend on
or before December 31, 2017.” As the Comptroller points out, the dividend is speculative and may
never be issued.
The Facility’s governing statute prescribed the method for the Facility to recover its
operating costs and expressly precluded the expenditure of public funds for such costs. See art. 5.76-
2, §§ 4.04, 2.06. The Facility availed itself of this procedure during its existence as insurer of last
resort and has recovered the shortfall from its members. To allow the Facility to recover part of its
operating costs by an expenditure of public funds would give it a double recovery by a means that
was expressly prohibited during its statutory existence. Policy and equity dictate that we must not
allow this to occur.
16
Tax Code § 111.104(f)
The Comptroller also asserted as a basis for summary judgment that the Facility is not
entitled to a refund in the first instance because it has failed to meet a necessary prerequisite: “[n]o
taxes, penalties, or interest may be refunded to a person who has collected the taxes from another
person unless the person has refunded all the taxes and interest to the person from whom the taxes
were collected.” Tex. Tax Code Ann. § 111.104(f) (West Supp. 2002). As noted, the Facility has
assessed its members for the amount it was unable to recoup from policy holders. It has not made
any refund to them pursuant to section 111.104(f). It would like to use any refund it obtains in this
lawsuit to issue a dividend to its former members; this contingent and future payment does not satisfy
the express requirement of section 111.104(f). Moreover, the Facility offers no response to the
Comptroller’s argument that it has a duty to refund its members before it is entitled to pursue a refund
from the Comptroller under section 111.104. We therefore find that section 111.104(f) presents an
obstacle to the Facility’s claim independent of the policy reasons discussed above and overrule the
Facility’s first issue.
Because the Comptroller has shown that it is entitled to judgment as a matter of law,
we need not address the Facility’s other issues on appeal.
CONCLUSION
The legislature established the policy by which the Facility was obligated to operate
as insurer of last resort in the involuntary market. Rule 1.411 validly implemented that policy. We
hold that the servicing companies, not the Facility, paid the surcharge in question. For all the reasons
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set forth in the opinion, we conclude that the Facility is not entitled to a tax refund and therefore
affirm the judgment of the trial court.
Bea Ann Smith, Justice
Before Chief Justice Aboussie, Justices B. A. Smith and Puryear
Affirmed
Filed: January 10, 2002
Publish
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