Haynes v. United States
Opinion of the Court
delivered the opinion of the Court.
In 1949, the petitioner, Gordon P. Haynes, became sick and unable to work while employed by the Southern Bell Telephone and Telegraph Company. At that time the company had in effect a comprehensive “Plan for Employees’ Pensions, Disability Benefits and Death Benefits.” This plan had been in force since 1913 when it was adopted by Southern Bell and other companies in the American Telephone and Telegraph Company system. A written copy of the plan, which was prepared much like an insurance policy, was given every person upon his initial employment by the company. Among other things, the plan provided that Southern Bell “undertakes in accordance with these Regulations, to provide for the payment of definite amounts to its employees when they are disabled by accident or sickness.” Under the plan every employee was entitled, after two years’ service with Southern Bell, to receive “sickness disability benefits” when he missed work because of illness. These payments began on the eighth calendar day of absence due to illness. The amount and duration of payments were set out with specificity and varied with the length of service. For example, employees who had worked for Southern Bell from two to five years were entitled to full pay for four weeks and one-half pay for nine additional weeks; employees who had been with the company for more than twenty-five years were entitled to full pay for fifty-two weeks. The company reserved the right to change or terminate the plan but agreed that no changes would be made which affected “the rights of any employee, without his consent, to any benefit or pension to which he may have previously become entitled hereunder.”
Under the plan petitioner was paid $2,100 in sickness disability benefits during 1949. Since he had been an employee of the company for more than twenty-five years
The crucial question is whether the Southern Bell plan should be treated as “health insurance” within the meaning of § 22 (b)(5). Broadly speaking, health insurance is an undertaking by one person for reasons satisfactory to him to indemnify another for losses caused by illness. We believe that the Southern Bell disability plan comes within this meaning of health.insurance.
If Southern Bell had purchased from a commercial insurance company health insurance that provided its employees with precisely the same kind of protection promised under its own plan, the Government concedes that the payments received by ailing employees from the commercial company would not have been taxable. Nevertheless it argues that Southern Bell’s plan should not be treated as “health insurance” because the employ
There is no support in the legislative history for the Government’s argument that Congress intended to restrict the exemption provided in § 22 (b)(5) to “conventional modes of insurance” and not to include employer disability plans. For reasons deemed satisfactory, Congress, since 1918, has chosen not to tax receipts from health and accident insurance contracts.
It is so ordered.
26 U. S. C. (1952 ed.) § 22 (b) (5).
The Government points to several other aspects of the Southern Bell plan as demonstrating that it is not “health insurance.” After consideration of the Government’s contentions in this respect we find they are without merit.
In Epmeier v. United States, 199 F. 2d 508, 511, the Seventh Circuit was of the opinion that: “The provisions of Section 22 (b) (5)
Section 22 (b) (5) can be traced to § 213 (b) (6) of the Revenue Act of 1918, 40 Stat. 1066. In §§ 104, 105 and 106 of the 1954 Internal Revenue Code, 26 U. S. C. (Supp. Ill) §§ 104-106, Congress again exempted amounts received through health insurance. However these new provisions limited the exclusion for receipts similar to those involved here to a maximum of $100 per week. We do not accept the Government’s contention that the enactment of §§ 10<H06 shows that Congress in 1918, and in Succeeding revenue measures, intended to distinguish between conventional commercial insurance and an employer’s plan like that of Southern Bell’s.
T. D. 2747, 20 Treas. Dec. Int. Rev. 457 (1918); G. C. M. 23511, Cum. Bull. 86 (1943); I. T. 4000, 1 Cum. Bull. 21 (1950); I. T. 4015, 1 Cum. Bull. 23 (1950); I. T. 4107, 2 Cum. Bull. 73 (1952); Rev. Rul. 208, 1953-2 Cum. Bull. 102. For a discussion of the difficulties of the American Telephone and Telegraph Company’s system because of the shifting administrative practice see Hearings before House Committee on Ways and Means on Forty Topics Pertaining to the General Revision of the Internal Revenue Code, 83d Cong., 1st Sess. 363.
Dissenting Opinion
dissent for the reasons stated in the opinion of the Court of Appeals, 233 F. 2d 413. See also, Moholy v. United States, 235 F. 2d 562; I. R. C., 1954, §§ 104—106, and the accompanying report, H. R. Rep. No. 1337, 83d Cong., 2d Sess. 15, a32-a35.
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