Was a medical emergency response card taxable when it represented both an information-transmission membership and prepaid telephone value?

Short answer No. The card was incidental to the medical-information service and an indicator of prepaid calling value; the provider was the consumer and owed tax when acquiring the cards.
State
CA
Ruling
Annotation 515.0034
Tax type
Sales and Use Tax
Issued
1994-11-04
Issued by
California State Board of Equalization
Requested by
A medical-information and prepaid-telephone card provider (identity redacted)

Apply this to your situation

This page answers the general question as of 1994. Ask about yours and see what current California tax law says, with citations.

Currency note: this ruling is from 1994
Subsequent statutory amendments, regulation changes, court decisions, or later rulings may have changed the analysis. Treat this page as historical context, not current tax advice. Verify current law before relying on any specific rule, rate, or position mentioned here.
Disclaimer: This is a California State Board of Equalization Tax Counsel opinion dated November 4, 1994, published by CDTFA as support for a sales and use tax annotation. It addresses a physical membership card that enabled electronic transmission of customer-supplied medical information and also represented prepaid long-distance calling value. It does not analyze later privacy, health-information, telecommunications-tax, electronic-card, stored-value, or unclaimed-property rules. Another provider should check current treatment of the service, prepaid value, and physical medium. This summary is informational only and is not legal or tax advice.
About this page: The plain-English summary, reader guidance, and Q&A below were written by Ezel based on the official state tax ruling. The original ruling (linked on this page as a PDF) is the authoritative source for any reliance.
View original ruling (PDF)

Plain-English summary

Customers supplied medical histories to a company and paid a membership fee for electronic transmission of that information to physicians and other authorized parties. The physical membership card was incidental to that nontaxable service.

The same card also worked as a prepaid long-distance telephone card. To that extent, California treated it as evidence or a token of prepaid value rather than tangible personal property sold to the customer.

In both functions, the company was the consumer of the physical card. Sales or use tax applied when the company acquired the cards, not to the customer's service or prepaid-value charge.

What this means for you

Medical-information services

A physical identifier can be incidental when the customer is buying access to electronic information transmission.

Prepaid calling providers

The customer received prepaid telephone value, while the issuer consumed the physical card.

Accountants and tax professionals

Separate service and prepaid-value treatment from the provider's taxable acquisition of the physical medium.

Common questions

Q: Was the medical-information membership taxable?

A: No. Electronic transmission of customer medical data was a service, and the card was incidental.

Q: Was the prepaid telephone function taxable as a card sale?

A: No. The card represented prepaid calling value.

Q: Who owed tax on the physical cards?

A: The provider, as consumer, owed sales or use tax when it acquired them.

Citations and references

  • California Revenue and Taxation Code §§ 6007, 6051, 6201, and 6401
  • California Sales and Use Tax Regulation 1501

Source

Original ruling text

515.0034

STATE OF CALIFORNIA

STATE BOARD OF EQUALIZATION

MEMBER
First District

LEGAL DIVISION (MIC:82)
450 N STREET, SACRAMENTO, CALIFORNIA
(P.O. BOX 942879, SACRAMENTO, CALIFORNIA 94279-0001)
(916) 324-2641
FAX 323-3387

BRAD SHERMAN
Second District, Los Angeles
ERNEST J. DRONENBURG, JR.
Third District, San Diego
MATTHEW K. FONG
Fourth District, Los Angeles

November 4, 1994

GRAY DAVIS
Controller, Sacramento
BURTON W. OLIVER
Executive Director

REDACTED TEXT
Dear REDACTED TEXT:
I am responding to your letter of August 16, 1994. You ask whether sales of the REDACTED TEXT Medical Emergency Response Card which you distribute to retailers for sale to the public is subject to sales tax. You refer to the letter of June 8, 1994 from the Assistant Chief Counsel Gary J. Jugum who advised you that sales tax did not apply to the sale of debit telephone cards. You enclose a copy of the brochure describing the “REDACTED TEXT Medical Emergency Response System.” The customer provides his or her medical history and medical data to REDACTED TEXT by completing the member information forms. The customer may then arrange by phone for electronic transmission of the customer's medical history and medical data from REDACTED TEXT to physicians and other authorized parties. The card also serves as a telephone debit card. The customer prepays a certain amount and funds are deducted from that prepaid amount for any telephone service provided. Retail sales of tangible personal property in California are subject to sales tax measured by the gross receipts from the sale, unless the sale is specifically exempt by statute. (Rev. & Tax. Code § 6051.) A retail sale is a sale for any purpose other than resale in the regular course of business. (Rev. & Tax. Code § 6007.) When sales tax does not apply, use tax measured by the sales price of the tangible personal property sold, applies to the use of that property purchased for use in California. (Rev. & Tax. Code §§ 6201, 6401.) On the other hand, the charge for providing a service is not subject to sales or use tax, even though some tangible personal property is incidentally transferred. (Reg. 1501.) With respect to your electronic transmission of medical information from REDACTED TEXT to the authorized parties, we view this, as the providing of a service to customers who pay you a membership fee and regard the membership card as transferred incidentally to the service. No sales or use tax applies to your charge for that service. You are the consumer of the card and sales or use tax applies to the sale of the cards to you. Regarding the phone call aspect of the REDACTED TEXT card, Mr. Jugum had previously stated that we do not consider sales of debit cards as sales of tangible personal property within the meaning of the Sales and Use Tax Law. The debit cards are, in legal terms, indicia of their prepaid value. The owner of the card acquires the card as a token of value. To the extent that the REDACTED TEXT Medical Emergency Response Card is used in lieu of prepaid long distance service, the sale of the card is nontaxable. Again, you are the consumer of such cards, and sales or use tax applies to the sale of the cards to you.

November 4, 1994

2

515.0034

If you have additional questions, please do not hesitate to write again. Very truly yours, Victor G. Matl Tax Counsel VGM:cl REDACTED TEXT cc: San Jose District Administrator

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