Untitled Texas Attorney General Opinion

THE ATTORNEY GENERAL OF TEXAS February 13, 1989 Honorable Bob Bullock Opinion No. JM-1016 Comptroller of Public Accounts L.B.J. State Office Building Re: Whether certain activi- Austin, Texas 78774 . ties of an independent claims investigator or ad- justor constitute a taxable .' insurance service under section 151.0039 of the Insurance Code, and related questions (RQ-1564) Dear Mr. Bullock: The second called session of the 70th Legislature amended the Texas Limited Sales, Excise, and Use Tax Act, chapter 151 of the Tax Code, to create several new categories of taxable~ services, including insurance services. Tax Code 8 151.0101(a)(9). See Acts 1987, 70th Leg. I 2d C.S., ch. 5, a*. 1, pt. 4, f 12. The legislature defined "insurance service" as follows: (a). 'Insurance service# means insurance loss or damage appraisal, insurance inspec- tion, insurance investigation, insurance actuarial analysis or research, insurance claims adjustment or claims processing, or insurance loss prevention service. (b) 81nsurance service' does not include nsurance coveraae for which a vremium is d or commissions paid to insurance agents for the sale of insurance or annuities. (Emphasis added.) Tax Code 8 151.0039, as added by Acts 1987, 70th Leg., 2d C.S., ch. 5, art. 1, pt. 4, 8 6. In your letter requesting an opinion, you note that a number of businesses specialize in providing independent claims investigations and adjustments for insurance companies, individuals pursuing claims against insurance p. 5241 companies, and attorneys representing insurance companies or claimants. You also note that such firms investigate whether an accident covered by insurance or workmen's compensation occurred and the cause and extent of the damages covered by an insurance or workmen's compensation policy. You first ask: If these services are retained by an insu- rance company in connection with the resolu- tion of an insurance claim, is this a taxable insurance service under S 151.0039 of the Tax Code? We think that the exclusion of %overage for which a pre- miums is paid" from the definition of "insurance service" simply means that a transaction that consists of the payment of a premium for insurance coverage is not a taxable event. It does not mean that any expenditure for which the premium is ultimately used by the insurer is not a taxable event. Further, the definition of "insurance service" expressly includes the items you ask about. Thus, the suggested reading of the plain language of the Tax Code would render the provision making insurance services a taxable item meaningless. The legislature cannot have intended such an absurd result. See. e.a., Citv of Houston y. Allred, 71 S.W.2d 251 (Tex. 1934). You next ask: If question 1 is answered \yesr8 if these services are retained by an insurance company after it has made an offer of claims settle- ment and has been sued by the insured, would this still be a taxable insurance service under 8 151.0039 of the Tax Code? We do not believe that the timing of the engagement of an insurance service firm makes any difference. You next ask: If these services are retained by the insured as an aid to his determination of whether he has a valid claim or should accept an insu- rance company's settlement offer rather than being retained by the insurance com- pany I would this be a taxable insurance p. 5248 Honorable Bob Bullock - Page 3 (JM-1016) service under 5 151.0039 of the Tax Code? (Our emphasis.) The statute provides no basis for distinguishing among purchasers of insurance services. Finally, you ask: Does taxability turn on whether the services are retained by a private individual, by an attorney, or by an insurance company? Again, the statute provides no ground for the distinctions you suggest. SUMMARX The exclusion of "insurance coverage for which a premium is paid" from the definition of "insurance coverage" simply means that a transaction that consists of the payment of a premium for insurance coverage is not a taxable event. It does not mean that any expenditure for which the permium is ultimately used by the insurer is not a taxable event. Very truly yo , k J hJ& JIM MATTOX Attorney Genera.1 of Texas MARYRELLER First Assistant Attorney General Lou MCcREARY Executive Assistant Attorney General JUDGE ZOLLIE STBARLBY Special Assistant Attorney General RICK GILPIN Chairman, Opinion Committee Prepared by D. R. Bustion, II Assistant Attorney General p. 5249