Hospital Corporation of America and Subsidiaries - Page 69

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               An additional distinction between the instant case and                 
          Humana, Inc. v. Commissioner, supra, is that on four separate               
          occasions during the years in issue HCA and the sister                      
          subsidiaries made reserve strengthening payments to Parthenon               
          totaling in the aggregate $86,350,100.   Respondent contends that           
          the reserve strengthening payments and a payment by HCA relating            
          to Florida hospital workers' compensation claims when Ideal                 
          Mutual became insolvent show that the ultimate responsibility for           
          insurance coverage provided by Parthenon remained with HCA.  We             
          agree that those are factors to consider but conclude they are              
          not dispositive of the instant case.                                        
              HCA and the sister subsidiaries made the reserve                       
          strengthening payments following determinations by Parthenon's              
          consulting actuary that Parthenon's reserves were not adequate              
          because its losses were developing more adversely than originally           
          estimated.  The payments were treated as insurance premiums not             
          only by petitioners but also by the Department of Insurance and             
          by Blue Cross acting in its capacity as intermediary for HCFA.              
          The need for the additional payments arose not because Parthenon            


          13  (...continued)                                                          
          Parthenon's workers' compensation obligations to the extent and             
          during the time that the indemnity agreement with Ideal Mutual              
          was in effect.                                                              







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