Workers’ comp insurance cost for home-health agencies in Illinois

Published 2026-06-11 · by Brokly

Direct answer: Illinois home-health agencies pay a filed workers’-comp manual rate of $1.56 per $100 of payroll (2024 filed rate) — the 30th-highest of 51 US jurisdictions. Modeled on real payrolls, most <5-employee home-health agencies land around $990–$4k/yr, before experience mods and schedule credits.

What do Illinois home-health agencies pay for workers’ comp?

Modeled annual premium across the real size distribution of IL home-health agencies

bar height = how many home-health agencies are that size · figures = modeled annual cost

typical · most IL home-health agencies
<5 emp
$1.4k/yr
5–9 emp
$4.2k/yr
10–19 emp
$8.7k/yr
20–49 emp
$21k/yr
50–99 emp
$59k/yr
100–249 emp
$110k/yr
SMALLER
MID-SIZE
LARGER
A <5-employee IL home-health agency: modeled $990–$4k/yr in workers’-comp premium (that band’s own average wage, before experience mods and schedule credits). Bar heights show how many of the 1,213 IL home-health agencies fall in each size band.

Cohort: size distribution of 1,213 IL home-health agencies (Census CBP 2023); premiums modeled from one filed rate ($1.56/$100 payroll, 2024). Bands shown cover 1,202 of 1,213 establishments (99.1%) 11 establishments in larger, very small-count, or data-suppressed size bands are not shown. 2023 payroll dollars, not inflation-adjusted. Illustrative benchmark — not a quote or coverage recommendation.

Filed manual rate (IL)
$1.56 / $100 payroll
as of 2024
Typical <5-employee home-health agency (35% of IL)
$990–$4k / yr modeled
as of 2024 · CBP 2023

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)

How does Illinois compare to nearby ranks?

Calculated manual rates, $ per $100 payroll, NCCI class 8835 (Home Healthcare), 2024. See all 51 jurisdictions →

RankStateRate / $100 payroll
26Oregon$1.64
27Colorado$1.62
28Louisiana$1.61
29North Carolina$1.59
30Illinois$1.56
31Ohio$1.55
32Florida$1.53
33Texas$1.52
34New Mexico$1.48

Sources: Oregon DCBS workers' compensation premium rate ranking study, June 2025 (calendar-year 2024 rates) (as of calendar year 2024, retrieved 2026-06-04)

Frequently asked questions

What does workers' comp cost home-health agencies in Illinois?

Modeled from the 2024 filed manual rate of $1.56 per $100 of payroll: a <5-employee home-health agency lands around $990–$4k per year before experience mods and schedule credits.

What drives the rate up or down?

Three levers: payroll (the exposure base), claims history (the experience modifier), and schedule credits/debits the insurer applies. 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.

Home-health agencies in nearby-ranked states: Florida ($1.53) · Louisiana ($1.61) · Texas ($1.52) · Mississippi ($1.65)

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Illustrative benchmark — not a quote or coverage recommendation. Figures are modeled from public filings and Census data for 1,213 Illinois home-health agencies; your premium depends on your payroll, claims history, and carrier.