Mesothelioma is a form of cancer which occurs in thin membranes (called the mesothelium) lining the chest, lungs, abdomen and sometimes the heart. Although quite rare, mesothelioma symptoms strike more than 200 people each year in the United States. The majority of mesothelioma cases are directly linked to asbestos exposure.
Because of the long latency period of mesothelioma, the average age of patients is between 50 and 70 years. Mesothelioma affects men most due to the high exposure of asbestos in industrial typed jobs. Mesothelioma symptoms include respiratory problems, shortness of breath, continual cough and pneumonia. Other mesothelioma symptoms include weight loss, abdominal problems and swelling. In some mesothelioma patients, the mesothelioma symptoms are quite muted, making it hard for mesothelioma doctors to diagnose.
Mesothelioma doctors specialize in the study, research, and treatments of Mesothelioma cancers.
Mesothelioma (or the cancer of the mesothelium) is a disease in which cells become abnormal and replicate without control. During Mesothelioma, these cells will invade and damage tissues and organs. Mesothelioma cancer cells can spread throughout the body causing death.
Mesothelioma treatments and Mesothelioma clinical trials and tests
There are many mesothelioma treatment options available. Treatments include surgery, radiation therapy and chemotherapy and the mesothelioma treatment depends on the patient’s age, general health and stage of the cancer. There has been much mesothelioma research conducted throughout the past two years to find new treatment methods. Click here to read more about mesothelioma treatment techniques.
Through mesothelioma research, The National Cancer Institute has sponsored mesothelioma tests and clinical trials that are designed to find new treatment methods. Because of the increase in number of mesothelioma cases in the United States, both governments have increased funding for mesothelioma research. Mesothelioma research and clinical trials have been successful in developing new techniques to fight this cancer and the outlook for more advanced mesothelioma treatments is promising.
Surgery is the most common treatment method for malignant mesothelioma. Tissues and linings affected by mesothelioma are removed by the doctor and may include the lung or even diaphragm.
A second mesothelioma treatment method is radiation therapy through the use of high energy x-rays that kill the cancer cells. Radiation therapy can be outside or inside the body.
A third mesothelioma treatment method is chemotherapy. Through pills or drugs through needles, chemotherapy drugs are used to kill cancer cells.
A new mesothelioma treatment method is called intraoperative photodynamic therapy. In this treatment, light and drugs are used to kill cancer cells during surgery for early stages of mesothelioma in the chest. Although there are numerous treatments and drugs for mesothelioma, doctors are losing the battle against this deadly disease. Most mesothelioma treatments involve old techniques combined with different drug cocktails. However, in most cases, these mesothelioma treatments have many side effects including organ damage, nausea, increase in heart failure etc. The rush to find a more effective mesothelioma treatment or even cure is ongoing at numerous clinical labs across the nation. Let's hope that the mesothelioma treatments will one day erradicate mesothelioma cancer and asbestosis.
With an abundance of information on the Internet, Mesothelioma Cancer and Asbestos ([http://www.mesothelioma-cancer-and-asbestos.com]) has consolidated the most important issues surrounding Mesothelioma, Mesothelioma doctors and symptoms, Mesothelioma treatment, Mesothelioma research and tests.
At [http://www.mesothelioma-cancer-and-asbestos.com], the website contains useful resources on Mesothelioma lawyers and attorneys, as well as causes by asbestos exposure, asbestos removal, asbestos attorneys and lawsuits, and asbestos cancer. Patients stricken by Mesothelioma and their families require support and current information. Mesothelioma Online Resources hopes to educate and give hope to survivors and victims.
Mesothelioma is such a harsh disease. Not only does it take years for symptoms to appear, but there are limited treatements and drugs that will prolong the lives of workers stricken with mesothelioma. In many cases, the death rate of mesothelioma is unfortunately very high. However, with increased funding in mesothelioma research through the government and private grants, the outlook for a mesothelioma cure is quite possible. In the meantime, mesothelioma support groups and local discussions provide the ongoing support for mesothelioma patients.
Mesothelioma Cancer and Asbestos ([http://www.mesothelioma-cancer-and-asbestos.com])is your source for mesothelioma and asbestos information, treatments, clinical trials, attorneys, support groups and lawyers.
About the website: Michael Kenneth is a successful Internet Publisher and has researched and written on many topics for [http://www.mesothelioma-cancer-and-asbestos.com] - your complete source for mesothelioma information, mesothelioma attorneys and lawyers, mesothelioma treatments and research, asbestos exposure and removal, asbestos attorneys and legislation as well as asbestos cancer.


Over the previous 20 years, many small companies have begun to insure their very own dangers via a product referred to as "Captive Insurance coverage." Small captives (often known as single-parent captives) are insurance coverage corporations established by the house owners of intently held companies seeking to insure dangers which can be both too pricey or too tough to insure via the standard insurance coverage market. Brad Barros, an skilled within the discipline of captive insurance coverage, explains how "all captives are handled as firms and have to be managed in a way in step with guidelines established with each the IRS and the suitable insurance coverage regulator."
In accordance with Barros, usually single dad or mum captives are owned by a belief, partnership or different construction established by the premium payer or his household. When correctly designed and administered, a enterprise could make tax-deductible premium funds to their related-party insurance coverage firm. Relying on circumstances, underwriting income, if any, may be paid out to the house owners as dividends, and income from liquidation of the corporate could also be taxed at capital beneficial properties.
Premium payers and their captives could garner tax advantages solely when the captive operates as an actual insurance coverage firm. Alternatively, advisers and enterprise house owners who use captives as property planning instruments, asset safety autos, tax deferral or different advantages not associated to the true enterprise objective of an insurance coverage firm could face grave regulatory and tax penalties.
Many captive insurance coverage corporations are sometimes fashioned by US companies in jurisdictions exterior of the US. The rationale for that is that overseas jurisdictions provide decrease prices and better flexibility than their US counterparts. As a rule, US companies can use foreign-based insurance coverage corporations as long as the jurisdiction meets the insurance coverage regulatory requirements required by the Inner Income Service (IRS).
There are a number of notable overseas jurisdictions whose insurance coverage rules are acknowledged as secure and efficient. These embrace Bermuda and St. Lucia. Bermuda, whereas dearer than different jurisdictions, is residence to lots of the largest insurance coverage corporations on the earth. St. Lucia, a extra fairly priced location for smaller captives, is noteworthy for statutes which can be each progressive and compliant. St. Lucia can be acclaimed for not too long ago passing "Integrated Cell" laws, modeled after related statutes in Washington, DC.
Frequent Captive Insurance coverage Abuses; Whereas captives stay extremely useful to many companies, some business professionals have begun to improperly market and misuse these buildings for functions aside from these meant by Congress. The abuses embrace the next:
1. Improper threat shifting and threat distribution, aka "Bogus Threat Swimming pools"
2. Excessive deductibles in captive-pooled preparations; Re insuring captives via personal placement variable life insurance coverage schemes
three. Improper advertising
four. Inappropriate life insurance coverage integration
Assembly the excessive requirements imposed by the IRS and native insurance coverage regulators is usually a complicated and costly proposition and will solely be carried out with the help of competent and skilled counsel. The ramifications of failing to be an insurance coverage firm may be devastating and will embrace the next penalties:
1. Lack of all deductions on premiums obtained by the insurance coverage firm
2. Lack of all deductions from the premium payer
three. Compelled distribution or liquidation of all belongings from the insurance coverage firm effectuating further taxes for capital beneficial properties or dividends
four. Potential opposed tax remedy as a Managed Overseas Company
5. Potential opposed tax remedy as a Private Overseas Holding Firm (PFHC)
6. Potential regulatory penalties imposed by the insuring jurisdiction
7. Potential penalties and curiosity imposed by the IRS.
All in all, the tax penalties could also be better than 100% of the premiums paid to the captive. As well as, attorneys, CPA's wealth advisors and their shoppers could also be handled as tax shelter promoters by the IRS, inflicting fines as nice as $100,000 or extra per transaction.
Clearly, establishing a captive insurance coverage firm is just not one thing that must be taken flippantly. It's essential that companies searching for to ascertain a captive work with competent attorneys and accountants who've the requisite information and expertise essential to keep away from the pitfalls related to abusive or poorly designed insurance coverage buildings. A common rule of thumb is captive insurance coverage product ought to have a authorized opinion masking the important components of this system. It's nicely acknowledged that the opinion must be offered by an unbiased, regional or nationwide legislation agency.
Threat Shifting and Threat Distribution Abuses; Two key components of insurance coverage are these of shifting threat from the insured occasion to others (threat shifting) and subsequently allocating threat amongst a big pool of insured's (threat distribution). After a few years of litigation, in 2005 the IRS launched a Income Ruling (2005-40) describing the important components required to be able to meet threat shifting and distribution necessities.
For individuals who are self-insured, the usage of the captive construction permitted in Rev. Ruling 2005-40 has two benefits. First, the dad or mum doesn't must share dangers with every other events. In Ruling 2005-40, the IRS introduced that the dangers may be shared throughout the identical financial household so long as the separate subsidiary corporations ( a minimal of seven are required) are fashioned for non-tax enterprise causes, and that the separateness of those subsidiaries additionally has a enterprise motive. Moreover, "threat distribution" is afforded as long as no insured subsidiary has offered greater than 15% or lower than 5% of the premiums held by the captive. Second, the particular provisions of insurance coverage legislation permitting captives to take a present deduction for an estimate of future losses, and in some circumstances shelter the revenue earned on the funding of the reserves, reduces the money circulate wanted to fund future claims from about 25% to just about 50%. In different phrases, a well-designed captive that meets the necessities of 2005-40 can carry a couple of price financial savings of 25% or extra.
Whereas some companies can meet the necessities of 2005-40 inside their very own pool of associated entities, most privately held corporations can't. Subsequently, it's common for captives to buy "third occasion threat" from different insurance coverage corporations, usually spending four% to eight% per 12 months on the quantity of protection mandatory to satisfy the IRS necessities.
One of many important components of the bought threat is that there's a affordable probability of loss. Due to this publicity, some promoters have tried to bypass the intention of Income Ruling 2005-40 by directing their shoppers into "bogus threat swimming pools." On this considerably frequent situation, an lawyer or different promoter may have 10 or extra of their shoppers' captives enter right into a collective risk-sharing settlement. Included within the settlement is a written or unwritten settlement to not make claims on the pool. The shoppers like this association as a result of they get all the tax advantages of proudly owning a captive insurance coverage firm with out the chance related to insurance coverage. Sadly for these companies, the IRS views all these preparations as one thing aside from insurance coverage.
Threat sharing agreements comparable to these are thought of with out advantage and must be averted in any respect prices. They quantity to nothing greater than a glorified pretax financial savings account. If it may be proven threat pool is bogus, the protecting tax standing of the captive may be denied and the extreme tax ramifications described above can be enforced.
It's well-known that the IRS seems at preparations between house owners of captives with nice suspicion. The gold customary within the business is to buy third occasion threat from an insurance coverage firm. Something much less opens the door to doubtlessly catastrophic penalties.
Abusively Excessive Deductibles; Some promoters promote captives, after which have their captives take part in a big threat pool with a excessive deductible. Most losses fall throughout the deductible and are paid by the captive, not the chance pool.
These promoters could advise their shoppers that for the reason that deductible is so excessive, there isn't any actual probability of third occasion claims. The issue with such a association is that the deductible is so excessive that the captive fails to satisfy the requirements set forth by the IRS. The captive seems extra like a classy pre tax financial savings account: not an insurance coverage firm.
A separate concern is that the shoppers could also be suggested that they will deduct all their premiums paid into the chance pool. Within the case the place the chance pool has few or no claims (in comparison with the losses retained by the collaborating captives utilizing a excessive deductible), the premiums allotted to the chance pool are just too excessive. If claims do not happen, then premiums must be diminished. On this situation, if challenged, the IRS will disallow the deduction made by the captive for pointless premiums ceded to the chance pool. The IRS might also deal with the captive as one thing aside from an insurance coverage firm as a result of it didn't meet the requirements set forth in 2005-40 and former associated rulings.
Personal Placement Variable Life Reinsurance Schemes; Over time promoters have tried to create captive options designed to offer abusive tax free advantages or "exit methods" from captives. One of many extra in style schemes is the place a enterprise establishes or works with a captive insurance coverage firm, after which remits to a Reinsurance Firm that portion of the premium commensurate with the portion of the chance re-insured.
Sometimes, the Reinsurance Firm is wholly-owned by a overseas life insurance coverage firm. The authorized proprietor of the reinsurance cell is a overseas property and casualty insurance coverage firm that isn't topic to U.S. revenue taxation. Virtually, possession of the Reinsurance Firm may be traced to the money worth of a life insurance coverage coverage a overseas life insurance coverage firm issued to the principal proprietor of the Enterprise, or a associated occasion, and which insures the precept proprietor or a associated occasion.
1. The IRS could apply the sham-transaction doctrine.
2. The IRS could problem the usage of a reinsurance settlement as an improper try and divert revenue from a taxable entity to a tax-exempt entity and can reallocate revenue.
three. The life insurance coverage coverage issued to the Firm could not qualify as life insurance coverage for U.S. Federal revenue tax functions as a result of it violates the investor management restrictions.
Investor Management; The IRS has reiterated in its printed income rulings, its personal letter rulings, and its different administrative pronouncements, that the proprietor of a life insurance coverage coverage can be thought of the revenue tax proprietor of the belongings legally owned by the life insurance coverage coverage if the coverage proprietor possesses "incidents of possession" in these belongings. Typically, to ensure that the life insurance coverage firm to be thought of the proprietor of the belongings in a separate account, management over particular person funding choices should not be within the palms of the coverage proprietor.
The IRS prohibits the coverage proprietor, or a celebration associated to the coverage holder, from having any proper, both immediately or not directly, to require the insurance coverage firm, or the separate account, to amass any specific asset with the funds within the separate account. In impact, the coverage proprietor can't inform the life insurance coverage firm what specific belongings to put money into. And, the IRS has introduced that there can't be any prearranged plan or oral understanding as to what particular belongings may be invested in by the separate account (generally known as "oblique investor management"). And, in a unbroken sequence of personal letter rulings, the IRS constantly applies a look-through method with respect to investments made by separate accounts of life insurance coverage insurance policies to seek out oblique investor management. Lately, the IRS issued printed tips on when the investor management restriction is violated. This steering discusses affordable and unreasonable ranges of coverage proprietor participation, thereby establishing secure harbors and impermissible ranges of investor management.
The last word factual dedication is straight-forward. Any courtroom will ask whether or not there was an understanding, be it orally communicated or tacitly understood, that the separate account of the life insurance coverage coverage will make investments its funds in a reinsurance firm that issued reinsurance for a property and casualty coverage that insured the dangers of a enterprise the place the life insurance coverage coverage proprietor and the individual insured below the life insurance coverage coverage are associated to or are the identical individual because the proprietor of the enterprise deducting the fee of the property and casualty insurance coverage premiums?
If this may be answered within the affirmative, then the IRS ought to be capable to efficiently persuade the Tax Court docket that the investor management restriction is violated. It then follows that the revenue earned by the life insurance coverage coverage is taxable to the life insurance coverage coverage proprietor as it's earned.
The investor management restriction is violated within the construction described above as these schemes usually present that the Reinsurance Firm can be owned by the segregated account of a life insurance coverage coverage insuring the lifetime of the proprietor of the Enterprise of an individual associated to the proprietor of the Enterprise. If one attracts a circle, all the monies paid as premiums by the Enterprise can't change into accessible for unrelated, third-parties. Subsequently, any courtroom this construction might simply conclude that every step within the construction was prearranged, and that the investor management restriction is violated.
Suffice it to say that the IRS introduced in Discover 2002-70, 2002-2 C.B. 765, that it might apply each the sham transaction doctrine and §§ 482 or 845 to reallocate revenue from a non-taxable entity to a taxable entity to conditions involving property and casualty reinsurance preparations much like the described reinsurance construction.
Even when the property and casualty premiums are affordable and fulfill the chance sharing and threat distribution necessities in order that the fee of those premiums is deductible in full for U.S. revenue tax functions, the power of the Enterprise to at the moment deduct its premium funds on its U.S. revenue tax returns is totally separate from the query of whether or not the life insurance coverage coverage qualifies as life insurance coverage for U.S. revenue tax functions.
Inappropriate Advertising and marketing; One of many methods wherein captives are offered is thru aggressive advertising designed to focus on advantages aside from actual enterprise objective. Captives are firms. As such, they will provide useful planning alternatives to shareholders. Nevertheless, any potential advantages, together with asset safety, property planning, tax advantaged investing, and so forth., have to be secondary to the actual enterprise objective of the insurance coverage firm.
Lately, a big regional financial institution started providing "enterprise and property planning captives" to clients of their belief division. Once more, a rule of thumb with captives is that they have to function as actual insurance coverage corporations. Actual insurance coverage corporations promote insurance coverage, not "property planning" advantages. The IRS could use abusive gross sales promotion supplies from a promoter to disclaim the compliance and subsequent deductions associated to a captive. Given the substantial dangers related to improper promotion, a secure guess is to solely work with captive promoters whose gross sales supplies give attention to captive insurance coverage firm possession; not property, asset safety and funding planning advantages. Higher nonetheless can be for a promoter to have a big and unbiased regional or nationwide legislation agency evaluation their supplies for compliance and ensure in writing that the supplies meet the requirements set forth by the IRS.
The IRS can look again a number of years to abusive supplies, after which suspecting promoter is advertising an abusive tax shelter, start a pricey and doubtlessly devastating examination of the insured's and entrepreneurs.
Abusive Life Insurance coverage Preparations; A latest concern is the combination of small captives with life insurance coverage insurance policies. Small captives handled below part 831(b) haven't any statutory authority to deduct life premiums. Additionally, if a small captive makes use of life insurance coverage as an funding, the money worth of the life coverage may be taxable to the captive, after which be taxable once more when distributed to the last word useful proprietor. The consequence of this double taxation is to devastate the efficacy of the life insurance coverage and, it extends critical ranges of legal responsibility to any accountant recommends the plan and even indicators the tax return of the enterprise that pays premiums to the captive.
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