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Commercial · US law

Workers’ compensation insurance

Workers’ comp pays medical costs and part of lost wages when employees are hurt or made ill by their work. In return, employees generally can’t sue the employer for those injuries. Each state sets its own rules.

Photo: Scott Blake on Unsplash

At a glance

Ref. COM-WC
Who needs it
Employers in almost every state once they have employees; thresholds and exemptions vary by state and industry.
Exception
Texas lets most private employers opt out (“nonsubscribers”), but they lose key legal protections.
What it pays
Medical care, part of lost wages, rehabilitation and death benefits.
Part two
Employer’s liability cover for lawsuits not barred by the comp system.
Where to buy
Private insurers, state funds, or monopolistic state funds in a few states.

How it works

Workers’ compensation is a “no-fault” system: injured employees receive benefits regardless of who caused the accident, and in exchange the comp system is usually their exclusive remedy against the employer. A standard policy has two parts: Part One pays the statutory benefits set by state law, and Part Two (employer’s liability) covers lawsuits that fall outside the comp system, up to policy limits.

Who must carry it

Rules vary: some states require cover from the first employee, others from a set number of employees, and some exclude certain groups such as some agricultural workers or sole proprietors. A handful of states (North Dakota, Ohio, Washington and Wyoming) run monopolistic state funds, where employers must buy from the state. Penalties for not having required cover can include fines, stop-work orders and personal liability for claims.

How premiums are set

Premiums are usually based on payroll per class of work (each with a classification code and rate), adjusted by an experience modification rate that reflects your claims history compared with similar businesses. Policies are often audited after the year ends to compare estimated and actual payroll. Misclassifying workers, or treating employees as contractors, can lead to unexpected bills.

Contractors and the self-employed

Independent contractors generally aren’t covered by your policy, but if a contractor is uninsured, some states can treat their workers as yours for comp purposes. Ask subcontractors for certificates of insurance. Sole proprietors can often choose to cover themselves.

Last updated: 15 October 2026

Frequently asked questions

Is workers’ comp required in every state?
Almost. Texas is the notable exception where most private employers can choose not to carry it. Even there, many do because nonsubscribers can be sued directly by injured workers.
Does workers’ comp cover remote employees?
Generally yes, for injuries arising out of and in the course of employment, although home-working claims can be harder to prove. State rules apply.
Is workers’ comp the same as UK employers’ liability?
They serve similar purposes but work differently. UK employers’ liability pays compensation when an employer is legally liable; US workers’ comp pays defined benefits regardless of fault.

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