TEXAS COURT OF APPEALS, THIRD DISTRICT, AT AUSTIN
NO. 03-03-00169-CV
Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas, and Greg
Abbott, successor to John Cornyn, Attorney General of the State of Texas, Appellants
v.
Lexington Insurance Company, Landmark Insurance Company, and American International
Specialty Lines Insurance Company, Appellees
FROM THE DISTRICT COURT OF TRAVIS COUNTY, 250TH JUDICIAL DISTRICT
NO. GN100569, HONORABLE CHARLES F. CAMPBELL, JUDGE PRESIDING
OPINION
This case concerns a dispute between the Comptroller of Texas1 and three surplus lines
insurance companiesCLexington Insurance Company, Landmark Insurance Company, and American
International Specialty Lines Insurance Company (collectively, the Insurers2)Cover the Comptroller=s
assessment of premium taxes on certain of their issued policies. The Insurers contend that the unauthorized
1
The Attorney General of the State of Texas, Greg Abbott, is also an appellant in this case.
Because the interests of the Attorney General and of the Comptroller coincide, we will refer to appellants
collectively as Athe Comptroller.@
2
When the Insurers= interests diverge, we will refer to them individually.
insurance premium tax does not apply to eligible surplus lines insurers. The Comptroller asserts that
although eligible to issue surplus insurance in Texas, the Insurers were required to issue the policies through
licensed Texas surplus lines agents; otherwise, they conducted unlawful and unauthorized insurance and
were subject to the tax. Because the Insurers have not produced evidence that the policies were issued
through licensed agents, argues the Comptroller, they are liable for the tax. After unsuccessfully pursuing
lengthy redetermination proceedings with the Comptroller, the Insurers paid their respective taxes under
protest and sought a refund in district court. The district court granted the Insurers= summary-judgment
motion and ordered the Comptroller to refund the taxes, declaring that Former Article 1.14-1, ' 11(a)3
does not apply to eligible surplus lines insurers. Because we hold that surplus lines policies must be issued
through licensed Texas agents or be independently procured to avoid the tax under article 1.14-1, '11(a),
we reverse the judgment of the trial court and remand this cause for further proceedings consistent with this
opinion.
BACKGROUND
3
Although the district court=s order refers to the current statute, section 101.251 of the insurance
code, we will refer to Former Article 1.14-1, ' 11(a), in effect at the time of this dispute. See Act of May
22, 1989, 71st Leg., R.S., ch. 242, ' 1, 1989 Tex. Gen. Laws 1151, 1151, amended by Act of May 27,
1993, 73d Leg., R.S., ch. 999, ' 6, 1993 Tex. Gen. Laws 4373, 4375, repealed by Act of Apr. 30,
1999, 76th Leg., R.S., ch. 101, ' 5, 1999 Tex. Gen. Laws 486, 538 (hereinafter cited as Former Article
1.14-1, ' 11(a)).
2
Surplus lines insurance allows a person who seeks to insure a Texas risk but is unable to
obtain that insurance from a Texas-licensed insurer to seek the insurance from an insurer who is not licensed
in Texas but is an Aeligible@ surplus lines insurer. See Tex. Ins. Code Ann. ' 981.001 (West Supp. 2003).
An insurer is an Aeligible@ surplus lines insurer if it meets certain minimum capital and surplus requirements
outlined in the insurance code.4 See Tex. Ins. Code Ann. '' 981.002(1), .057 (West Supp. 2003).5 The
Insurers here are not licensed in Texas but are Aeligible@ to issue surplus lines insurance in the state.
4
There is no dispute that the Insurers are Aeligible@ surplus lines insurers, as defined under the
insurance code: AAn eligible surplus lines insurer must maintain capital and surplus in an amount of at least
$15 million [or] [i]f an eligible surplus lines insurer is an insurance exchange created by the laws of another
state . . . [it must meet certain detailed capital and surplus requirements].@ See Tex. Ins. Code Ann. '
981.057 (West Supp. 2003).
5
The Texas Insurance Code has undergone recodification in recent years. For the sake of
convenience, when a cited provision has not substantially changed from that in effect during the time relevant
to this dispute, citation will be to the current insurance code.
3
The Comptroller audited the Insurers for the years 1992 to 1995, found a tax deficiency,
and imposed unauthorized insurance premium taxesC$362,975.97 against American International Specialty
Lines Insurance Company (American International), $6,956,251.08 against Lexington, and $151,599.99
against Landmark.6 The insurance policies for which the taxes were assessed insured Texas risks on
subjects either resident, located, or to be performed in Texas. To conduct its audit and deficiency
determination, the Comptroller used records obtained from the surplus lines stamping office, which is
created under the authority of the insurance code to review and record surplus lines insurance contracts
placed by licensed Texas surplus lines agents and to assist the Commissioner of Insurance in evaluating the
eligibility of surplus lines insurers. See id. '' 981.151, .154, .158 (West Supp. 2003). Texas-licensed
surplus lines agents must file a copy of every policy placed through them with the stamping office within sixty
days of a policy=s effective or issue date. See id. ' 981.105 (West Supp. 2003). The policies for which
the Comptroller assessed the taxes were not reported to the surplus lines stamping office by licensed Texas
surplus lines agents.
Procedural history
The tax code allows a person who has a direct interest in a tax-deficiency determination to
petition the Comptroller for a redetermination. See Tex. Tax Code Ann. ' 111.009 (West 2001). About a
year after the Comptroller initially assessed the deficiency against American International, the Comptroller
6
The amounts assessed have fluctuated over the course of the proceedings due to agreed
reductions, proof the Insurers have presented, and interest.
4
reduced American International=s liability because it provided evidence that taxes had been paid on some of
the policies at issue. With respect to the remaining assessed deficiency, American International timely
requested a redetermination, claiming that Former Article 1.14-1, section 11 did not apply to it as an eligible
surplus lines insurer. The Administrative Hearings Section of the Comptroller=s office held a hearing in 1998
or early 1999 on American International=s request. The Tax Division of the Comptroller=s office
represented the Comptroller. In June 1999, the administrative law judge (ALJ) recommended that the audit
assessment be affirmed, and the Comptroller accepted this recommendation in an order. American
International timely paid its tax under protest on June 21, 1999, indicating this intent in a letter submitted
with the payment that reiterated the legal arguments it had been alleging over the course of the
redetermination proceedings. The Tax Division agreed to American International=s motion for rehearing, to
allow the insurer an opportunity to produce records evidencing payment of the tax or use of licensed agents.
After another hearing, the ALJ issued a recommendation in May 2000 to affirm the audit assessment, as
reduced by agreement between American International and the Tax Division, which the Comptroller
incorporated into an order. On June 8, 2000, American International filed another motion for rehearing.
The ALJ recommended denial of the motion, and the Comptroller accepted this recommendation in an
order in August 2000. American International filed a suit for judicial review in September 2000 seeking a
declaratory judgment, an injunction, and refund of the taxes it paid under protest.
In December 1997, Lexington and Landmark filed a timely redetermination request upon
receiving their deficiency assessments. They contended that the Comptroller had no jurisdiction to label
them unauthorized insurers in order to assess the unauthorized premium tax; only the Department of
5
Insurance could declare them unauthorized. Lexington and Landmark=s proceedings were consolidated,
and a hearing was conducted in September 1998. The Administrative Hearings Section conducted
redetermination hearings and undertook extensive information-gathering from Lexington and Landmark and
the stamping office, attempting to determine whether any of the policies at issue had been placed through
licensed Texas agents or independently procured. See Former Article 1.14-1, ' 11(a). In June 1999, the
ALJ recommended that the audit assessments as to Lexington and Landmark be affirmed, with a reduction
in the tax due from Lexington based on records it had produced. The Comptroller signed the ALJ=s
decision. The Tax Division and Lexington and Landmark then filed an agreed motion for rehearing to allow
the insurers further opportunity to prove that additional policies had been issued through licensed agents.
The insurers conducted extensive research of their records, contacting various brokers to obtain any
relevant records on the policies at issue. After another hearing, the ALJ issued a recommendation in
November 2000 that, with certain agreed reductions in the amounts owed, the taxes assessed against
Lexington and Landmark be affirmed. The Comptroller signed an order accepting these recommendations,
which required the payment of the taxes within twenty days. Lexington and Landmark timely paid the taxes
under protest on November 22, 2000, accompanying their payment with a letter stating that the payment
was made under protest, indicating that a motion for rehearing would be timely filed, and outlining the
reasons why the taxes were not due. On the same day, Lexington and Landmark filed a motion for
rehearing, asking the Comptroller to refund the taxes paid under protest and reiterating their arguments
developed throughout the redetermination proceedings. After reviewing the issue over the next few months,
the Comptroller denied this motion for rehearing in February 2001. On February 22, 2001, Lexington and
6
Landmark filed their suit for judicial review seeking declaratory judgment, an injunction, and a refund of the
taxes paid under protest.
In June 2001, the three Insurers filed a motion to consolidate their individual suits, which the
trial court granted. Subsequently, the Insurers filed a motion for summary judgment, arguing that article
1.14-1, section 11(a) did not apply to eligible surplus lines insurers, and thus they were entitled to a refund
of the taxes paid under protest. The trial court granted summary judgment for the Insurers, ordering the
Comptroller to refund the taxes. The Comptroller brings this appeal, asserting that (1) the trial court did not
have jurisdiction over the refund suits because the Insurers did not exhaust administrative remedies, (2) the
trial court did not have jurisdiction to render declaratory judgment because such action cannot stand on its
own in the absence of a refund suit, and (3) the Insurers are liable for the unauthorized insurance premium
tax because they failed to comply with statutory requirements to lawfully conduct surplus lines insurance.
DISCUSSION
Exhaustion of administrative remedies
The Comptroller contends that the Insurers failed to exhaust administrative remedies before
filing their refund suits, depriving the trial court of jurisdiction to consider their refund requests. See Subaru
of Am., Inc. v. David McDavid Nissan, Inc., 84 S.W.3d 212, 221 (Tex. 2002) (court has no jurisdiction
if plaintiff fails to exhaust administrative remedies); Hill v. Board of Trustees, 40 S.W.3d 676, 679 (Tex.
App.CAustin 2001, no pet.) (same). The Insurers filed their lawsuits under section 112.151 of the tax
code, pertaining to refund suits. See Tex. Tax Code Ann. ' 112.151 (West 2001). Although the Insurers
7
paid their respective taxes under protest with accompanying protest letters, the Comptroller asserts that the
Insurers= protest letters cannot be construed as the Arefund claims@ required under sections 111.104 and
112.151 of the tax code. See Burgess v. Gallery Model Homes, Inc., 101 S.W.3d 550, 558 (Tex.
App.CHouston [1st Dist.] 2003, pet. denied) (Comptroller has exclusive jurisdiction to resolve tax refunds,
and party must exhaust such remedy before filing refund suit under tax code section 112.151); Bullock v.
Marathon Oil Co., 798 S.W.2d 353, 360-61 (Tex. App.CAustin 1990, no writ) (to maintain action
against Comptroller for tax refund, party must meet requirements of tax-protest law). The Comptroller
notes that although the protest letters and payments set the stage for a protest suit under section 112.052 of
the tax code, the Insurers failed to file such suit within ninety days of making their protest payments,
foreclosing that avenue of relief. See Tex. Tax Code Ann. ' 112.052(b). Thus, concludes the Comptroller,
the Insurers did not comply with the mandatory and exclusive administrative remedies required under the tax
code, and the district court did not have jurisdiction over these causes.
The Insurers rejoin that their protest-payment letters were, in substance, refund claims,
although they did not use the magic word Arefund.@ Additionally, they filed motions for rehearing, and these
motions were denied by the Comptroller, also administrative requirements. See id. ' 112.151. Finally, they
filed suit within thirty days from when the Comptroller denied their final motions for rehearing. See id.
Thus, they contend that they exhausted their administrative remedies, and the trial court properly assumed
jurisdiction of their suits. To resolve this dispute, we turn first to the protest letters themselves.
American International=s letter submitted with its protest payment reads, in pertinent part:
8
Dear Comptroller Rylander:
On behalf of the above-captioned eligible surplus lines insurance company, we hereby hand
you a check in the amount of $362,975.97 . . . . This payment is made under protest for
the following reasons which will be stated more fully in the motion for rehearing which will
be timely filed: [American International is not subject to taxation under article 1.14-1, '
11(a); Comptroller has no jurisdiction to assess the tax; disputed tax has been paid already
by licensed surplus lines agents; Comptroller has usurped authority of Commissioner of
Insurance in declaring American International unauthorized; tax statute is to be construed
against agency; Comptroller did not meet burden of proof to declare American
International unauthorized; and American International was deprived fair hearing when
Comptroller treated a prior decision on a similar topic as determinative of this dispute].
Lexington and Landmark=s joint protest letter reads substantially the same, although outlining their reasons in
more detail. On the face of the protest letters, therefore, the Comptroller is correct that the Insurers did not
explicitly ask for a Arefund.@7 Thus, we consider whether their protest letters can reasonably be construed
as Arefund claims@ under sections 111.104 and 112.151 of the tax code.8
7
The Insurers, in their respective final motions for rehearing filed on June 8, 2000, for
American International and on November 22, 2000, for Lexington and Landmark, did ask the Comptroller
for a refund of the taxes paid under protest.
8
Section 111.104 provides in relevant part:
(b) A tax refund claim may be filed with the comptroller by the person who paid the
tax or by the person=s attorney, assignee, or other successor.
(c) A claim for refund must:
(1) be written;
(2) state the grounds on which the claim is founded; and
9
(3) be filed before the expiration of the applicable limitation period . . . .
Tex. Tax Code Ann. ' 111.104 (West 2001).
Section 112.151 provides in relevant part:
(a) A person may sue the comptroller to recover an amount of tax, penalty, or
interest that has been the subject of a tax refund claim if the person has:
(1) filed a tax refund claim under Section 111.104 of this code;
(2) filed, as provided by Section 111.105 of this code, a motion for rehearing
that has been denied by the comptroller; and
(3) paid any additional tax found due in a jeopardy or deficiency determination
that applies to the tax liability period covered in the tax refund claim.
(b) The suit must be brought against both the comptroller and the attorney general
and must be filed in a district court.
(c) The suit must be filed before the expiration of 30 days after the issue date of the
denial of the motion for rehearing or it is barred.
Id. ' 112.151 (West 2003).
10
It is difficult to conclude that the Insurers= protest letters alone could reasonably be
construed as Arefund claims@ because they do not ask for a refund or in any other language seek the return
of their money paid under protest. It is their respective motions for rehearing that ask for a refund. The
statute is clear: a refund claim must be written, state the grounds on which the claim is founded, and be
filed before the expiration of the applicable limitation period. See Tex. Tax Code Ann. ' 111.104. The
statute does not explicitly require that the word Arefund@ be used in a refund claim, but the desire for a
refund must be apparent. Although the written letters were timely and stated the grounds on which the
protest is lodged, the Insurers do not ask for their money back. The letters, as written, lay the ground for a
protest suit under sections 112.051 and 112.052 of the tax code (requiring only that protest be in writing
and state reasons for recovery of payment, and that suit be filed within 90 days).
When taxes are disputed, the tax code provides two distinct types of suits, with different
procedural requirements: protest suits and refund suits. Compare id. ' 112.051, .052 (authorizing protest
suits), with id. ' 112.151 (authorizing refund suits). Although intuitively it seems that when a taxpayer pays
a tax Aunder protest,@ that person contends that she does not owe the tax and thus wants her money back,
the legislature has clearly indicated that a tax-refund claim and the corresponding procedures outlined in
section 112.051 are an exclusive remedy for a tax-refund suit, which is distinct procedurally from a protest
suit.9 On the evidence of the protest letters alone, we would conclude that the Insurers had not filed Arefund
claims@ and had, therefore, failed to exhaust their administrative remedies.10
9
It seems incongruous that for a protest suit, a taxpayer need not specifically ask for a
refund in the protest letter, although a taxpayer=s hoped-for result under either a tax-refund or protest-
payment proceeding is the same: recovery of taxes already paid. Compare Tex. Tax Code Ann. ''
11
112.051, .052 (West 2001), with id. ' 112.151 (West 2001). The tax code gives little guidance as to
whether a claim more appropriately qualifies as a refund or a protest suit. However, the purpose behind
protest suits is to provide an adequate legal remedy whereby a taxpayer may test the validity of a tax
without having to resort to the traditional equitable remedy of injunction, which would restrain the state=s
collection of the tax and disrupt the tax-collection process. Cobb v. Harrington, 190 S.W.2d 709, 713
(Tex. 1945); Bernard Hanyard Enters., Inc. v. McBeath, 663 S.W.2d 639, 643 (Tex. App.CAustin
1983, writ ref=d n.r.e.). A refund suit, on the other hand, serves the purpose of empowering the
Comptroller, upon her determination, to refund the payment of certain taxes found to have been paid
through mistake of fact or law, thereby relieving the legislature of time-consuming claims made directly to
lawmakers. See Motorola, Inc. v. Bullock, 586 S.W.2d 706, 708-710 (Tex. Civ. App.CAustin 1979, no
writ). It would appear from the purposes behind these two tracks, therefore, that the Insurers= claims fell
more appropriately under the protest-track. However, if they have adequately exhausted the administrative
remedies under the refund-track, there is nothing in the tax code that prevents the Insurers from bringing this
suit as a refund suit.
10
In this vein, at least Lexington and Landmark had also not completely fulfilled the
requirement in sections 111.105 and 112.051 pertaining to motions for rehearing. Section 112.051
requires that a claimant have filed a motion for rehearing pursuant to section 111.105. That section, in turn,
implies that to file a motion for rehearing, a claimant must have first requested a hearing, had the hearing, and
then filed a motion for rehearing:
A person claiming a refund under section 111.104 . . . is entitled to a hearing on the
claim if the person requests a hearing . . . . A decision of the comptroller following a
hearing on a claim for refund becomes final 20 days after service on the claimant of
the notice of the order or decision. A tax refund claimant who is dissatisfied with the
decision on the claim is entitled to file a motion for rehearing.
Tex. Tax Code Ann. ' 111.105 (West 2001). The protest letter and motion for rehearing on which
Lexington and Landmark rely were filed on the same day, and there is no indication in the record that the
requisite hearing request and actual hearing occurred.
12
However, we must analyze the protest letters in the context of the particular proceedings
pending between the Insurers and the Comptroller. Since the Insurers requested a redetermination of the
tax assessed in late 1997, the Comptroller has been aware of their basic legal argument that they owe no tax
whatsoever. By the time the Insurers had filed their respective protest letters, they and the Comptroller had
been embroiled in conflict over the proper interpretation of Former Article 1.14-1, section 11(a) of the
insurance code and the Insurers= liability, if any, for the unauthorized insurance premium tax. The Insurers
had long asserted their legal arguments that they were authorized, not unauthorized, insurers. The
Comptroller had iterated her opposing interpretation of the statute. Hearings had been conducted in
compliance with the Insurers= requests for redetermination of the tax assessments. Negotiations had
occurred between the Insurers and the Comptroller, resulting in agreed motions for rehearing and reductions
in the amounts owed due to records the Insurers were able to produce. Both the Comptroller and the
Insurers were on fair notice of the opposing side=s position. The Insurers= final motions for rehearing (in
June 2000 for American International and in June 1999 for Lexington and Landmark) merely reiterated their
contention that they owed no taxes at all, for all the reasons they had been urging throughout the
redetermination process.
The policy behind the exhaustion-of-administrative-remedies doctrine is to allow the agency
to resolve disputed issues of fact and policy and to assure that the appropriate body adjudicates the dispute.
Essenburg v. Dallas County, 988 S.W.2d 188, 189 (Tex. 1998). Similarly, the policy seeks to
encourage parties to resolve their dispute without resorting to litigation when an administrative procedure is
provided for that purpose. See Vela v. Waco Indep. Sch. Dist., 69 S.W.3d 695, 702 (Tex. App.CWaco
13
2002, pet. withdrawn). Also, there are several long-recognized exceptions to the doctrine: (1) where an
injunction is sought and irreparable harm would result; (2) where the administrative agency cannot grant the
requested relief; (3) when the issue presented is purely a question of law; (4) where certain constitutional
issues are involved; and (5) where an administrative agency purports to act outside its statutory powers.
Gibson v. Waco Indep. Sch. Dist., 971 S.W.2d 199, 201-02 (Tex. App.CWaco 1998), vacated on
other grounds, 22 S.W.3d 849 (Tex. 2000); see Larry Koch, Inc. v. Texas Natural Res. Conservation
Comm=n, 52 S.W.3d 833, 839-40 (Tex. App.CAustin 2001, pet. denied). In the case of an agency
allegedly acting outside of its statutory powers, the Apurposes underlying the exhaustion rule are not
applicable: judicial and administrative efficiency are not served, and agency policies and expertise are
irrelevant, if the agency=s final action will be a nullity.@ Larry Koch, 52 S.W.3d at 840. Here, the Insurers
insisted that the Comptroller had no authority to declare them unauthorized insurers because such authority
rested exclusively with the Commissioner of Insurance. If the Insurers were to prevail on their theory that
the Comptroller was acting outside her authority in assessing these taxes against an eligible surplus lines
insurer, the administrative requirements for a refund in the tax code would be mere formalities, as the
Comptroller=s actions in assessing the taxes would ultimately be Anullities.@ See id. at 840.
Although the Insurers were seeking more than declaratory relief, the policy behind the
exhaustion doctrine is not served by denying the Insurers their day in court after the detailed and lengthy
process that had occurred here. To the contrary, the policyCat this stage in the proceedingsCwould be
better served if a court resolved the issue because a court is the more Aappropriate body@ to adjudicate the
fundamental question of law at issue here: the meaning of Former Article 1.14-1, section 11. See
14
Essenburg, 988 S.W.2d at 189. We conclude that under these particular facts, it would have Aserved no
purpose@ for the Insurers to file technically correct refund claims and proceed through duplicative hearings
when the Comptroller was on notice of the legal bases for their claims.
The Insurers cite our opinion in Sharp v. International Business Machines Corp. for the
proposition that courts ought not strictly apply procedural requirements under certain circumstances when to
do so would be an exercise in futility, while relaxation of the requirements would Aachieve judicial efficiency
and prevent unnecessary waste of judicial resources.@ 927 S.W.2d 790, 795 (Tex. App.CAustin 1996,
writ denied); see also Estepp v. Miller, 731 S.W.2d 677, 680 (Tex. App.CAustin 1987, writ ref=d n.r.e.).
In International Business Machines, IBM filed an initial refund request with the Comptroller, which the
Comptroller denied because it was filed after the four-year limitations period had expired. International
Bus. Machs., 927 S.W.2d at 791. IBM filed a motion for rehearing, which the Comptroller denied. Then,
IBM filed a second refund request for the same tax year, seeking an amount in addition to that sought in the
first request. Before the Comptroller took any action on this second request, IBM filed suit in district court
contesting the Comptroller=s denial of the first request and seeking a refund in an amount totaling the first
and second requests. Id. IBM concurrently requested a hearing on its second request, which was denied,
but never filed a motion for rehearing on this request, as required by the tax code. Id. at 792; see Tex. Tax
Code Ann. ' 112.151. In the lawsuit, the Comptroller asserted that the court had no jurisdiction over the
second refund claim because no motion for rehearing had been filed. International Bus. Machs., 927
S.W.2d at 795. This Court held that, nevertheless, it had jurisdiction over both refund claims because the
determination as to whether IBM=s second request was timely filed depended completely on whether its first
15
request was filed within the limitations period. Id. AIt would have served no purpose for IBM to obtain a
hearing on its Second Request . . . when its First Request, filed over two years before, was denied because
it was not timely filed.@ International Bus. Machs., 927 S.W.2d at 795.
The IBM case is distinguishable because IBM already had some basis for a valid lawsuit as
to its first refund claim. The Insurers here could not have sued the Comptroller for any refund if we applied
the strictly technical requirement of a refund claim. Nevertheless, the policy behind relaxing administrative
requirements if their strict application would produce Aan exercise in futility,@ see id., 927 S.W.2d at 795,
applies here.
We conclude that under the facts of this case, the Insurers have substantially met the
requirements of section 112.151. The Comptroller had studied the issue of the applicability of article 1.14-
1, section 11(a) to these insurers closely, and had consistently resolved that legal question against them.
The parties had attempted to resolve their dispute through the administrative process. Finally, the Insurers
determined that a lawsuit was necessary to determine the statute=s applicability. Because the Insurers rely
on a strictly legal argument that they could not be taxed under the statute authorizing taxes on unauthorized
insurance premiums, and in light of the protracted administrative process already completed, their payment
under protest could not reasonably be regarded as anything but a request for a refund. Indeed, their
motions for rehearing made this claim explicit. After the Comptroller denied the motions for rehearing, the
Insurers filed their lawsuits. Under these particular facts, we hold that the Insurers sufficiently exhausted
their administrative remedies by filing Arefund claims@ with the Comptroller and pursuing the additional
requirements under the tax code. We overrule the Comptroller=s first issue.
16
Declaratory judgment
In its second issue, the Comptroller asserts that the trial court also lacked jurisdiction over
the Insurers= declaratory-judgment claim, because that claim cannot stand on its own. To support this
argument, it cites State v. Morales, which declared that the Uniform Declaratory Judgments Act is Amerely
a procedural device for deciding cases already within a court=s jurisdiction@ and that A[a] litigant=s request
for declaratory relief cannot confer jurisdiction on the court, nor can it change the basic character of a suit.@
869 S.W.2d 941, 947 (Tex. 1994); see Tex. Civ. Prac. & Rem. Code Ann. '' 37.001-.011 (West 1997
& Supp. 2004). However, our holding that the Insurers exhausted their administrative remedies before filing
their suit confers jurisdiction on the district court. Thus, the declaratory-judgment action need not stand on
its own, but in conjunction with the Insurers= refund suit. We overrule the Comptroller=s second issue.
Unauthorized insurance premium tax
The trial court declared that the unauthorized insurance premium tax outlined in Former
Article 1.14-1, section 11(a) does not apply to eligible surplus lines insurers. See Former Article 1.14-1, '
11(a).11 The Comptroller asserts that although a surplus lines insurer may be Aeligible,@ that status does not
11
Former Article 1.14-1, section 11(a) provided in relevant part:
Except as to premiums on lawfully procured surplus lines insurance and premiums on
independently procured insurance on which a tax has been paid pursuant to this
Article or Article 1.14-2, every unauthorized insurer shall pay to the State Board of
Insurance before March 1 next succeeding the calendar year in which the insurance
was so effectuated, continued or renewed a premium receipts tax of 4.85 percent of
gross premiums charged for such insurance on subjects resident, located or to be
performed in this state.
17
necessarily prevent such insurer from acting in an Aunauthorized@ manner that then subjects it to the
premium-receipts tax. When the Insurers failed to use licensed Texas surplus lines agents, their issuance of
the subject policies was unauthorized and made them liable for the tax. We begin our discussion with the
text of Former Article 1.14-1, section 11(a), the statute that was in effect during the applicable time period.
Former Article 1.14-1, ' 11(a). This article was amended, effective September 1993, to read:
Except as to premiums on insurance procured by a licensed surplus lines agent from
an eligible surplus lines insurer as defined in Article 1.14-2 and premiums on
independently procured insurance on which a tax has been paid pursuant to this
Article or Article 1.14-2, every unauthorized insurer shall pay to the comptroller, on
a form prescribed by the comptroller, before March 1 next succeeding the calendar
year in which the insurance was so effectuated, continued or renewed or another
date prescribed by the comptroller a premium receipts tax of 4.85 percent of gross
premiums charged for such insurance on subjects resident, located or to be
performed in this state.
Act of May 27, 1993, 73d Leg., R.S., ch. 999, ' 6, 1993 Tex. Gen. Laws 4373, 4375, amended by Act
of May 29, 1993, 73d Leg., R.S., ch. 685, ' 3.03, 1993 Tex. Gen. Laws 2559, 2575, repealed by Act of
Apr. 30, 1999, 76th Leg., R.S., ch. 101, ' 5, 1999 Tex. Gen. Laws 486, 538.
18
Former Article 1.14-1 is entitled AUnauthorized Insurance.@ Its purpose is to afford the
Board of Insurance and the courts of Texas personal jurisdiction over an out-of-state insurer doing business
in Texas without a certificate of authority from the Board. Risk Managers Int=l, Inc. v. State, 858 S.W.2d
567, 571 (Tex. App.CAustin 1993, writ denied); Act of May 27, 1993, 73d Leg., R.S., ch. 999, ' 1,
1993 Tex. Gen. Laws 4373, 4373, repealed by Act of Apr. 30, 1999, 76th Leg., R.S., ch. 101, ' 5, 1999
Tex. Gen. Laws 486, 538.12 Before 1993, section 11 of the article required unauthorized insurers to pay to
the Board of Insurance a premium-receipts tax: A[e]xcept as to premiums on lawfully procured surplus lines
insurance and premiums on independently procured insurance on which a tax has been paid pursuant to this
12
Article 1.14-1, section 1 provided in relevant part:
The purpose of this Article is to subject certain persons and insurers to the
jurisdiction of the State Board of Insurance . . . and of the courts of this state . . . .
The Legislature declares that it is a subject of concern that many residents of this
state hold policies of insurance issued by persons and insurers neither authorized to
do insurance business in this state nor qualified as eligible surplus lines insurers as
defined in Article 1.14-2 . . . . The Legislature declares that it is also concerned with
the protection of residents of this state against acts by persons and insurers not
authorized to do an insurance business in this state by the maintenance of fair and
honest insurance markets, by protecting the premium tax revenues of this state, by
protecting authorized persons and insurers . . . from unfair competition by
unauthorized persons and insurers and by protecting against the evasion of the
insurance regulation laws of this state.
Act of May 27, 1993, 73d Leg., R.S., ch. 999, ' 1, 1993 Tex. Gen. Laws 4373, 4373, repealed by Act
of Apr. 30, 1999, 76th Leg., R.S., ch. 101, ' 5, 1999 Tex. Gen. Laws 486, 538.
19
Article or Article 1.14-2, every unauthorized insurer shall pay . . . a premium receipts tax of 4.85
percent of gross premiums charged.@ Former Article 1.14-1, ' 11(a) (emphasis added).13
Notably, the liability for the premium-receipts tax hinges on whether an insurer is
Aunauthorized.@ The statute excepts those premiums received on a lawfully procured surplus lines insurance
policy or on an independently procured insurance, if a premium tax has been paid. Unauthorized insurers
who receive the excepted premiums on which a tax has been paid are not liable for the premium-receipts
tax imposed by section 11. Under this statutory scheme, we must engage in a two-step analysis to
determine whether the eligible Insurers can ever be considered Aunauthorized@ and if so, whether they
qualify for either of the exceptions.
To determine whether the Insurers may be considered unauthorized, we turn first to section
2 of Former Article 1.14-1, which broadly defines acts that may constitute doing insurance business in
Texas. They include the making of an insurance contract, the receiving of any premium, the issuance of a
contract of insurance to a Texas resident, and Aany other transaction of business in this state by an insurer.@
See Act of May 29, 1993, 73d Leg., R.S., ch. 685, ' 3.031, 1993 Tex. Gen. Laws 2559, 2577, repealed
13
Former Article 1.14-1, section 11(a) was amendedCeffective September 1993Cto require
unauthorized insurers to pay the tax to the comptroller rather than the State Board of Insurance. See Act of
May 29, 1993, 73d Leg., R.S., ch. 685, ' 3.04, 1993 Tex. Gen. Laws 2559, 2578, repealed by Act of
Apr. 30, 1999, 76th Leg., R.S., ch. 101, ' 5, 1999 Tex. Gen. Laws 486, 538.
20
by Act of Apr. 30, 1999, 76th Leg., R.S., ch. 101, ' 5, 1999 Tex. Gen. Laws 486, 538. The definition of
Ainsurance business,@ therefore, is global, encompassing every conceivable form of business conducted by
an insurer. Subsection (b) of section 2 then exempts certain transactions from the umbrella definition of
Ainsurance business.@ The Alawful transaction of surplus lines insurance@ and Aindependently procured
insurance@ are exempted. See Act of Dec. 12, 1989, 71st Leg., 2d C.S., ch. 1, ' 13.11(b), 1990 Tex.
Gen. Laws 1, 96, amended by Act of May 29, 1993, 73d Leg., R.S., ch. 685, ' 3.03, 1993 Tex. Gen.
Laws 2559, 2576, repealed by Act of Apr. 30, 1999, 76th Leg., R.S., ch. 101, ' 5, 1999 Tex. Gen.
Laws 486, 538 (AThe provisions of this section do not apply to: (1) The lawful transaction of surplus lines
insurance . . . [and] (4) Transactions involving contracts of insurance procured through negotiations
occurring entirely outside of this state which are reported and on which a premium tax is paid in accordance
with this Article.@) (hereinafter cited as Former Article 1.14-1, ' 2(b)). Section 3 explains what makes a
transaction an act of unauthorized insurance: A[n]o person or insurer shall directly or indirectly do any of the
acts of an insurance business set forth in this Article except as provided by and in accordance with the
specific authorization of statute.@ See Act of May 27, 1985, 69th Leg., R.S., ch. 918, ' 2, 1985 Tex.
Gen. Laws 3088, 3089, repealed by Act of Apr. 30, 1999, 76th Leg., R.S., ch. 101, ' 5, 1999 Tex. Gen.
Laws 486, 538 (emphasis added). In other words, an insurer has conducted the unauthorized business of
insurance when it engages in any of the listed transactions (collecting premiums) in a manner that is not
specifically authorized by statute. Furthermore, it is the engaging in such a transaction that makes an insurer
Aunauthorized.@ Thus, we must determine in what manner a surplus lines insurer is authorized to conduct
insurance business in Texas. For this, we turn to Former Article 1.14-2.
21
The purpose of Former Article 1.14-2, entitled ASurplus Lines Insurance,@ is to Aprovide for
the regulation, taxation, supervision and control@ of insurance transactions that are Aentered into by citizens
of this state with unauthorized insurers through a surplus lines agent as a result of difficulty in obtaining
coverage from licensed insurers.@ Act of Apr. 27, 1967, 60th Leg., R.S., ch. 185, ' 2, 1967 Tex. Gen.
Laws 400, 408, repealed by Act of May 22, 2001, 77th Leg., R.S., ch. 1419, ' 31(b)(1), 2001 Tex. Gen.
Laws 3658, 4208. This reveals a clear legislative intent that surplus lines insurance be obtained through a
licensed Texas agent:
In order to properly regulate and tax such unauthorized insurance . . . the Legislature herein
provides an orderly method for the insuring public of this state to effect insurance with
unauthorized insurers through qualified, licensed and supervised surplus lines agents in this
state . . . so that such insurance coverage may be obtained by residents of this state to the
extent that the coverage is not procurable from duly licensed, regulated insurers conducting
business in this state.
Id. The repeated references to Aunauthorized@ insurers and insurance in section 1 reveal an underlying
premise: that surplus lines insurers are unauthorized, absent express statutory authorization to conduct
insurance business. Section 3 of the article provides authorization for surplus lines insurers, Asubject to the
following conditions: . . . The insurer must be an eligible surplus lines insurer . . . [and] [t]he insurance must
be placed through a licensed Texas surplus lines agent resident in this state.@ See Act of May 27, 1993,
73d Leg., R.S., ch. 999, ' 10, 1993 Tex. Gen. Laws 4373, 4377, repealed by Act of May 22, 2001, 77th
Leg., R.S., ch. 1419, ' 31(b)(1), 2001 Tex. Gen. Laws 3658, 4208. If surplus lines insurance is not
placed through a licensed Texas surplus lines agent, the transaction does not qualify as the Athe lawful
22
transaction of surplus lines insurance.@ See Former Article 1.14-1, ' 2(b) (emphasis added). Indeed, the
transaction cannot meet the definition of Alawfully procured surplus lines insurance@ in section 11 of Former
Article 1.14-1. See Former Article 1.14-1, ' 11(a) (emphasis added).
We conclude that surplus lines insurers who do not place surplus lines insurance through a
licensed Texas surplus lines agent have engaged in unauthorized insurance and become Aunauthorized
insurers@ liable for the premium tax imposed by Former Article 1.14-1, section 11. Only an insurer who
receives premiums on independently procured insurance on which a premium-receipts tax has been paid is
excepted from this liability. We conclude that surplus lines insurersCeligible or notCare liable for the
unauthorized insurance premium tax imposed by Article 1.14-1 if they have not placed the insurance through
a licensed Texas surplus lines agent or if the insurance has not been independently procured.
Citing Texas Unemployment Comp. Comm=n v. Bass, 151 S.W.2d 567, 570 (Tex.
1941), the Insurers contend that the statute must be construed against the taxing authority. We disagree.
The Insurers are actually seeking an exemption from the tax on unauthorized insurance premiums. To
conduct the authorized business of insurance as an insurer not licensed in this state, the Insurers must comply
with the statutory requirements. When a taxpayer claims an exemption, the court is to strictly construe the
exemption provision against the taxpayer. Bullock v. National Bancshares Corp., 584 S.W.2d 268, 272
(Tex. 1979). Moreover, Aa person or entity claiming the benefit of a statutory exemption has the burden of
proving every fact essential to the invocation of the exemption.@ Risk Managers, 858 S.W.2d at 570
(citing Cramer v. Shepard, 167 S.W.2d 147 (Tex. 1942)). To prevail, the Insurers must be able to prove
that they fell under one of the exemptions to the unauthorized insurance premium tax: that the premiums they
23
collected were for (1) lawfully procured surplus lines insurance on which a tax had been paid or (2)
independently procured insurance on which a tax had been paid.14 They failed to meet this burden. We
sustain the third issue and hold that the district court erred in declaring that eligible surplus lines insurers are
not subject to Former Article 1.14-1.
CONCLUSION
14
We recognize the Insurers= predicament that they have not maintained the necessary records to
enable them the benefit of the exemption because of the surplus lines insurance industry=s understanding of
state premium-receipts tax law as imposing the tax burden on only the agent and the Insurers= business
practice to contractually place the burden of complying with a particular state=s laws on the brokers and
agents. However, the Texas statutes are clear about what constitutes the lawful practice of insurance in
Texas, and it was the Insurers= burden to comply with Texas laws if they desired to insure Texas risks.
24
The Insurers substantially exhausted their administrative remedies before filing suit in district
court, and therefore the trial court had jurisdiction over their refund suit and their related claims. Because
the trial court erred in interpreting Former Article 1.14-1 of the insurance code, we reverse its grant of
summary judgment in favor of the Insurers and remand this cause for further proceedings not inconsistent
with this opinion.
Bea Ann Smith, Justice
Before Chief Justice Law, Justices B. A. Smith and Patterson
Reversed and Remanded
Filed: February 20, 2004
25
Carole Keeton Strayhorn, Comptroller of Public Accounts of the State of Texas, and Greg Abbott, Successor to John Cornyn, Attorney General of the State of Texas v. Lexington Insurance Company, Landmark Insurance Company, and American International Speciality Lines Insurance Company
Combined Opinion