National Home Care Agency Insurance and Risk Management
- Complete coverage packages for personal care and companion services
- Specialized carriers experienced with non-medical home care agencies
- Licensed in all 50 states with competitive rates
Understanding Home Care Agency Insurance Compliance
- Personal care assistance (bathing, dressing, grooming, toileting)
- Companion care and socialization
- Meal preparation and light housekeeping
- Medication reminders
- Transportation to appointments and errands
- Respite care for family caregivers
- 24-hour live-in care
- Dementia and Alzheimer’s care
- Assistance with mobility and transfers
Essential Insurance Coverage for Home Care Agencies
General Liability for Home Care Operations
General liability is a standard requirement for your home care agency insurance portfolio to cover accidents like client falls or property damage. This part of your home care agency insurance is often required to secure office leases and state contracts.
What It Covers: Client falls and injuries, property damage in client homes, accidental injuries during care, equipment damage, allegations of improper care, premises liability at your office
Why You Need It: Required by state licensing in many states and by all managed care contracts. Covers bodily injury and property damage claims
Typical Cost: $2,000-$5,000 annually
Professional Liability for Home Care Providers
Professional liability is a core part of any home care agency insurance package, protecting your staff against allegations of negligence or errors in care. Even in non medical settings, this layer of home care agency insurance is essential for long term stability.
What It Covers: Allegations of negligent care, inadequate supervision, improper transfer techniques, failure to prevent falls, hiring unqualified caregivers, breach of care plan
Why You Need It: Even though you’re non-medical, you provide professional care services. Many contracts now require this. Protects against negligence allegations
Typical Cost: $3,000-$8,000 annually
Workers Compensation for Caregivers
Under state law, your home care agency insurance must include workers compensation to protect your employees from work related injuries. This is a vital part of home care agency insurance that handles medical costs and lost wages.
What It Covers: Employee injuries including back strains from lifting clients, auto accidents between clients, slip and falls in client homes, injuries from aggressive clients
Why You Need It: Legally required in nearly all states when you have employees. Covers medical expenses and lost wages for injured workers
Typical Cost: $8-$12 per $100 of payroll for caregivers
Sexual Abuse & Molestation Coverage (Essential)
Protecting vulnerable clients is your top priority, which makes Sexual Abuse and Molestation (SAM) coverage an essential part of home care agency insurance. This provides a specialized defense against allegations of misconduct or negligent supervision.
- What It Covers: Legal defense costs, settlements, and crisis management related to allegations of physical or sexual abuse by staff members or contractors.
- Why You Need It: These claims are almost always excluded from standard general liability policies.Including this in your home care agency insurance portfolio is vital for protecting your agency’s reputation and financial future.
- Typical Cost: $500–$1,500 annually depending on your agency’s screening protocols and total staff count.
Hired and Non-Owned Auto Insurance
Since most caregivers use their personal vehicles to visit clients or run errands, home care agency insurance must include Hired and Non-Owned Auto (HNOA) coverage. This protects your agency when an employee is involved in an accident while on the clock, as their personal policy may exclude business use.
What It Covers: Liability for accidents caused by employees driving personal, rented, or borrowed vehicles for agency business (e.g., driving a client to an appointment or picking up supplies).
Why You Need It: Most personal auto policies will deny claims if the vehicle was being used for work.
Typical Cost: $100–$500 annually when added as an endorsement to your general liability or commercial auto policy.
Cyber Liability Insurance for Care Records
As agencies move toward digital scheduling, home care agency insurance must include cyber protection. This ensures your home care agency insurance handles data breaches that compromise sensitive client information.
What It Covers: Data breaches, ransomware attacks, stolen devices with client data, HIPAA violations if you handle protected health information
Why You Need It: You store client personal information electronically. Data breaches cost $200,000+ on average. Increasingly required by contracts
Typical Cost: $1,500-$3,500 annually

Why Home Care Agencies Need Specialized Insurance
Client Falls and Injuries
Your caregivers assist vulnerable clients with mobility, transfers, and daily activities in homes that may have hazards like stairs, loose rugs, or clutter. Even with proper technique and safety protocols, falls happen. Client injuries from falls can result in serious harm and costly liability claims.
Real Scenario: Caregiver helping 82-year-old client from wheelchair to bed. Client loses balance and falls, fracturing hip. Family sues agency for $425,000 claiming inadequate training and improper transfer technique. General liability insurance covered claim.
Allegations of Abuse or Inappropriate Conduct
Personal care requires touching clients during bathing, dressing, and toileting assistance. This intimate care, combined with vulnerable clients who may have dementia or communication difficulties, creates risk of abuse allegations whether true or false. General liability specifically excludes abuse claims.
Real Scenario: Family member accuses caregiver of inappropriate touching during bathing assistance for client with dementia. Police investigated, no charges filed, but family sued agency for $850,000. Even though allegation was unfounded, legal defense cost $125,000. Sexual abuse and molestation insurance covered all costs.
Negligent Hiring and Supervision Claims
You’re responsible for the caregivers you send into clients’ homes. If an employee with inadequate screening causes harm, you face claims of negligent hiring. If caregivers aren’t properly supervised and something goes wrong, you face negligent supervision allegations.
Real Scenario: Agency hired caregiver who passed background check but had out-of-state conviction that didn’t appear. Caregiver later accused of theft from client. Family sued agency for negligent hiring claiming inadequate screening. Professional liability insurance defended claim and settled for $175,000.
Employee Injuries and Workers Comp Claims
Home care workers suffer back injuries at rates 2-3 times higher than other industries due to patient lifting and transferring in non-clinical settings. Add auto accidents, slip and falls in client homes, and injuries from confused or aggressive clients, and workers compensation exposure is substantial.
Real Scenario: Caregiver helping 250-pound client with Alzheimer’s disease. Client became combative during care, causing caregiver to fall and injure back. Required surgery and 8-month recovery. Workers compensation claim totaled $135,000 for medical care and lost wages.
What Does Home Care Insurance Cost?
Insurance costs vary based on your size, services, location, and claims history. Here are typical package examples:
Small Agency
- Profile: 5-10 caregivers, $500K-$1M revenue, single county, personal care and companion services
- Coverage: $1M/$2M general liability, $1M/$3M professional liability, workers comp, $1M sexual abuse coverage, $1M hired/non-owned auto
- Typical Annual Cost: $12,000-$22,000
Medium Agency
- Profile: 20-40 caregivers, $2M-$5M revenue, multi-county, personal care and specialized dementia care
- Coverage: $2M/$4M general liability, $1M/$3M professional liability, workers comp, $2M sexual abuse coverage, $1M hired/non-owned auto, $1M cyber
- Typical Annual Cost: $28,000-$50,000
Large Agency
- Profile: 75+ caregivers, $8M+ revenue, multi-state, comprehensive services including 24-hour care
- Coverage: $2M/$4M general liability, $2M/$4M professional liability, workers comp, $2M sexual abuse coverage, commercial auto, $2M cyber, $3M umbrella
- Typical Annual Cost: $65,000-$120,000+
These are estimates. Actual costs depend on specific factors.
Home Care Insurance Specialists
We Only Work With Home Care Providers
Unlike general insurance brokers, we specialize exclusively in home care insurance. We understand the difference between Medicare-certified home health and non-medical home care. We know state licensing requirements, typical contract insurance obligations, and the unique risks non-medical agencies face.
Access to Specialized Carriers
We work with A+ rated carriers that specialize in home care coverage. These specialized carriers understand your business model, offer more flexible underwriting for non-medical services, and provide competitive pricing. We can place coverage even for new agencies or those with claims history that other brokers can’t help.
Complete Insurance Solutions
We provide all coverages you need in one comprehensive package: general liability, professional liability, workers compensation, sexual abuse and molestation coverage, auto insurance, cyber liability, and umbrella coverage. Bundling saves you 10-25% compared to separate policies and simplifies management.
Risk Management Support
We help you prevent claims through guidance on hiring practices, background screening, caregiver training, policies and procedures, and client assessment protocols. Lower claims mean lower premiums. We also provide contract insurance requirement reviews, unlimited certificate requests, and claims support.
Licensed in All 50 States
Whether you operate in one state or across the country, we’re licensed in all 50 states and can coordinate coverage for all your locations. We understand state-specific licensing requirements and insurance mandates in every jurisdiction.
Home Care Agency Insurance Questions
While not universally required by law, professional liability insurance is strongly recommended and increasingly required by managed care contracts. Even though you’re non-medical, you provide professional care services and can face negligence allegations. The coverage is relatively affordable ($3,000-$8,000 annually) and provides essential protection against claims that general liability doesn’t cover.
General liability covers accidents and bodily injuries (like client falls, property damage). Professional liability covers negligence in your services (inadequate care, poor supervision, hiring unqualified caregivers). Home care agencies need BOTH because you face both types of risks. A client fall might be general liability, but allegations you failed to properly train the caregiver is professional liability.
Yes, absolutely essential for any agency providing personal care (bathing, dressing, toileting). Your general liability policy specifically excludes all abuse allegations. Without separate SAM coverage, you have zero protection if allegations arise (even false ones). Defense costs alone average $100,000-$200,000. Most contracts now require this coverage.
Typically $8-$12 per $100 of payroll for caregivers providing personal care. So if your annual caregiver payroll is $500,000, expect $40,000-$60,000 in workers comp premium. Actual rates vary by state, your claims history, and specific job duties. Administrative staff costs much less ($0.50-$1.50 per $100 of payroll).
Yes. Even if all your caregivers are contractors, you still need general liability insurance and professional liability insurance to protect your business. You may be able to skip workers compensation if contractors are truly independent (check your state law). However, many states and courts reclassify home care contractors as employees, so proceed carefully.
Yes. We regularly place coverage for new home care agencies. You’ll need to provide your business plan, demonstrate proper licensing (in process or approved), show you have qualified management, and explain your hiring and training procedures. New agencies pay slightly higher premiums initially but rates decrease as you build a clean operating history.
Get Your Home Care Agency Insurance Quote Today
Every home care agency is unique. We’ll assess your specific needs, review any current coverage for gaps, and provide quotes from multiple A+ rated carriers specializing in non-medical home care.
What You Need to Get Started:
- Basic agency information (name, location, years in business)
- Number of caregivers (full-time, part-time, contractors)
- Annual revenue or projected revenue
- Services provided (personal care, companion care, specialized services)
- Current insurance information (if applicable)
Complete our quick form and receive your customized quote within 48 hours.
Speak with a home care insurance expert who can answer questions and guide you through the process.
Expert Support for Home Care Agency Insurance
Choosing the right home care agency insurance is one of the most important decisions you will make for your caregiving business. Our home care agency insurance specialists work with A plus rated carriers to provide you with superior protection for your caregivers and clients. We understand the specific challenges of the non medical care market and help you avoid common gaps in your home care agency insurance coverage.
To stay informed on the latest industry standards and regulatory changes affecting providers, we recommend monitoring resources from the National Association for Home Care & Hospice. Thank you for trusting us as your primary source for home care agency insurance and agency risk management.
✓ Licensed in All 50 States | ✓ A+ Rated Carriers | ✓ 500+ Home Care Agencies Served | ✓ 20+ Years Experience | ✓ Home Care Specialists