Home-health agency coverage guide
Insurance for home-health agencies — what to carry, and what it costs
Updated 2026-06-11 · by Brokly
What insurance do home-health agencies need?
Direct answer: insurance for home-health agencies starts with workers’ comp — required in nearly all states — with 4 more coverages matched to the trade below. For a typical home-health agency that’s ≈$640–$22k/yr depending on the state (filed rates $0.33–$4.58/$100 payroll, 2024).
- Licensed brokerage· NPN 22253061
- Most US states
- A-rated carriers
In detail
The coverages, one by one
Workers’ comp is governed state by state — pick your state in the table below for the statute and the modeled cost. The rest is the trade’s exposure map.
If a nurse, aide, or therapist is hurt lifting a patient or driving between clients.
What it covers, and what it doesn’t
Typically covers
- Medical bills for a work injury, at rates the state sets
- Part of the injured employee's lost wages
- The employer too: covered employees generally can't sue over the injury
Typically doesn’t
- Injuries outside work
- Independent contractors, in most states
- Lawsuits that get around the can't-sue trade-off — that's the employer's liability part of the same policy
If a patient says your care fell short and caused harm.
What it covers, and what it doesn’t
Typically covers
- Financial harm from advice, designs, or specs that turn out wrong
- Client claims that work failed inspection or missed a professional standard
- Legal defense for those claims — often the largest cost
Typically doesn’t
- Bodily injury or property damage — that's general liability
- Intentional wrongdoing
- Work redone purely as warranty or goodwill
If you crash a vehicle carrying nurses and aides from one client's home to the next.
What it covers, and what it doesn’t
Typically covers
- Liability when a business vehicle injures someone or damages property
- Accidents in vehicles titled to the business, driven by employees for work
- The liability minimums states set for business vehicles
Typically doesn’t
- Your liability when employees drive their own cars for work — that's hired and non-owned auto; the employee's own car stays on their personal policy
- The freight or goods being hauled — that's cargo or inland marine coverage
- Damage to your own vehicle, unless physical damage coverage is added
If your staff damages a client's home or hurts someone while working there, and a claim lands on the agency.
What it covers, and what it doesn’t
Typically covers
- Injuries to customers, visitors, and other third parties
- Damage your operations cause to someone else's property
- Legal defense for covered claims
Typically doesn’t
- Your employees' injuries — that's workers' compensation
- Mistakes in professional advice or design — that's professional liability
- Redoing your own faulty workmanship itself
If patient records carried into the field are breached — HIPAA's notification duties travel with every visit.
What it covers, and what it doesn’t
Typically covers
- The fallout of a hack or data breach — notifying customers, restoring data and systems
- Claims from customers whose data was exposed
- Often the income lost while systems are down
Typically doesn’t
- Physical damage to property — that's commercial property
- Tricked-into-wiring-money losses on many forms — social-engineering coverage is its own add-on
- Breaches at your vendors, unless the policy extends to them
Exact terms live in the policy — these are the typical boundaries.
Sources & methodology
Sources: NAIC — Small Business Insurance (retrieved 2026-06-11) · Florida Statutes §400.471(3) — home health agency licensure (malpractice and liability insurance) (as of 2025 Florida Statutes, retrieved 2026-06-11) · U.S. Department of Labor — Fact Sheet #79D: Hours Worked Applicable to Domestic Service Employment Under the FLSA (retrieved 2026-06-11) · Oregon DAS Risk Management — Insurance Clauses: Physical Abuse and Sexual Molestation (retrieved 2026-06-11) · NAIC — Cybersecurity topic (as of last updated 2024-05-09, retrieved 2026-06-11)
By the numbers
What workers’ comp costs a typical home-health agency
Modeled annual premium for each state’s most common home-health agency size, from that state’s own filed rate and observed payroll. All 51 states: rates & costs →
Least expensive states
Most expensive states
- Tennessee≈$22k/yr
- Louisiana≈$21k/yr
- Oklahoma≈$17k/yr
- New Jersey≈$5.8k/yr
- California≈$2.9k/yr
Modeled — not quotes: each figure prices that state’s most common home-health agency size band from the state’s own observed payroll (CBP 2023), so dollar order can differ from rate rank.
Get your number
That’s the model. Get your actual number.
Built from your state’s filed rates and typical payroll for your size. Your real premium depends on your payroll, class code, and claims history — a licensed advisor can price it today.
Get my price →- Licensed brokerage· NPN 22253061
- Most US states
- A-rated carriers
By state
Pick your state — what’s required there, and what it costs
Every linked state has the full guide: what the law requires there, the coverages that fit, and modeled costs — built from 29,576 home-health agencies across 23 states (CBP 2023).
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota †
- Ohio †
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington †
- West Virginia
- Wisconsin
- Wyoming †
† monopolistic state — workers’ comp must be bought from the state fund; a private policy can’t satisfy the requirement there. Other unlinked states lack a published rate or a defensible business-size cohort.
Sources: Oregon DCBS workers' compensation premium rate ranking study, June 2025 (calendar-year 2024 rates) (as of calendar year 2024, retrieved 2026-06-04) · US Census County Business Patterns 2023, state file (Home health care services (NAICS 621610)) (as of 2023, retrieved 2026-06-05)
FAQ
Common questions
What work does class 8835 cover?
Home-health work is NCCI class 8835 (Home Healthcare) — nurses, aides, and other staff delivering care in patients' homes; office-based healthcare classes like 8832 (Physician & Clerical) are rated separately.
Why does my state matter so much?
Workers’ comp is state law — the employee threshold that triggers it, the rates, and the market structure all differ by state. That’s why every state above gets its own guide.
Someone asked me for a certificate of insurance — what is it?
The one-page proof your coverage exists — landlords, general contractors, and client contracts ask for it routinely, and it’s often the reason home-health agencies buy insurance in the first place. Certificate of insurance, explained →
- Licensed brokerage· NPN 22253061
- Most US states
- A-rated carriers