Audit: Insurers Owe State $65M In Premium Taxes

October 24, 2017

Seventeen New Mexico insurance companies owe the state $65 million in unpaid premium taxes, according to an audit released Tuesday by State Auditor Tim Keller.

 

While that's a lot, it's far less than the $193 million that Keller and others had previously said the insurers owe.

 

 The audit looked at 30 insurance companies, including health insurers, life insurers and property and casualty insurers during the period from 2003 to 2016. Of those, 17 were found to have underpayments totaling almost $65 million.

 

The 17 insurers weren't named in the audit, which was done by Examination Resources LLC of Atlanta, Georgia. Nor was it clear how the state would go about recovering that money.

 

The 30 companies examined had 84 percent of the market in the life, health and property and casualty insurance business, the audit said.

 

Here's the news release from Keller's office:

 

SANTA FE, NM – Today, State Auditor Tim Keller released a special audit of the Office of the Superintendent of Insurance’s (OSI) collection of premium taxes owed by insurance companies. The Office of the State Auditor (OSA) initiated the special audit earlier this year to resolve longstanding questions about the amounts owed to the state from insurance companies. The audit examined 30 insurers during the period from 2003 to 2016, including health insurers, life insurers and property and casualty insurers. Of those companies, 17 were found to have underpayments totaling almost $65 million, the largest of which owes nearly $30 million.

 

“This audit brings much needed clarity to decades of longstanding disagreements about amounts collected and owed when it comes to premium taxes. Now it’s time for OSI to do its job and collect these monies owed to our state, and for the companies to promptly pay up, and both to prevent this from happening in the future. Despite some roadblocks and disagreements along the way, I’m pleased that all parties – the Legislative Finance Committee, the Department of Finance and Administration, the Superintendent of Insurance and the insurance providers - came together to participate fully in this audit and for what is in the best interest of New Mexico.”

 

The OSA’s Audit recommends the following actions:

 

- Collect the amounts that are owed to the state. Now that the amounts owed to the state have been calculated, it is OSI’s responsibility to issue assessments to the insurance companies, consider penalties and interest, and allow the insurers the opportunity to respond. The OSA previously requested that the Office of the Attorney General be actively engaged in the negotiation and approval of any proposed settlements.

 

- Improve oversight immediately. Most of the audit’s seven findings stem from OSI inability, or lack of resources, to ensure that insurance companies are properly utilizing credits, taking deductions, and reporting premiums. The audit outlines steps that OSI can take immediately to improve its oversight of the use of Medical Insurance Pool (MIP) credits, political subdivision deductions, and reporting of premiums as required by law.

 

- Move premium tax collection duties to an experienced agency. Due to ongoing resource, expertise and financial management challenges at OSI, OSA recommends that the New Mexico Legislature consider moving premium tax collection duties to an experienced oversight agency like the Taxation and Revenue Department (TRD). As part of last year’s budget, both agencies are required to submit a plan to the Legislature by December 31, 2017, regarding the transfer of these duties to TRD.

 

“With this audit, we’ve pinpointed the precise amount that the state can seek from insurance companies,” stated State Auditor Tim Keller. “Make no mistake, $65 million is a lot of money for New Mexico, this amount could have filled most of the gap during the last budget crisis, prevented the need for a special session, service cuts or tax increases. That’s why it matters for New Mexicans that agencies fulfill their duty to collect taxes in an accurate and timely way and do not leave money on the table.”

 

For this audit, the OSA worked with the Legislative Finance Committee, the Department of Finance and Administration and OSI to determine the audit’s scope of work and timeline for completion. An earlier sample-based review found serious weaknesses in OSI’s collection processes but was not able to pinpoint the exact amount owed by each company because auditors only had access to OSI’s faulty records. The special audit being released today was conducted by an independent outside firm, Examination Resources, which reviewed both OSI and insurance company records, under the oversight of OSA.

 

“Given longstanding problems with premium tax collection at OSI, it is in the best interests of the agency and the state for the Legislature to move these critical duties under an agency that is more capable of adequately handling the collection of complex taxes,” said Keller.

 

OSI’s 2016 annual audit resulted in an unfavorable “disclaimer of opinion,” meaning that auditors were unable to obtain adequate information to support the agency’s financial statements. That audit report identified 31 findings relating to all aspects of OSI’s financial operations. The OSI’s 2017 annual audit is still in progress.

 

The special audit of premium taxes is available here: https://www.saonm.org/media/audits/440_OSI_Special_Audit_September_2017_PREMIUM_TAX_FILINGS.pdf

 

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