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North Dakota · Home Health Aide insurance · 2026

Home Health Aide Insurance in North Dakota

North Dakota requires Workers' Compensation for home health aides. See the checklist below for the full breakdown and costs.

01

North Dakota requirements

CoverageRequired?MinimumNotes
Workers' CompensationRequiredStatutoryWorkers' comp is purchased through the state fund (monopolistic state).

State regulator: North Dakota Insurance Department

02

Coverage checklist

CoverageRequirementAnnual cost
General LiabilityGLRequired$285–$713/yr
Workers' CompensationWCRequired$1,140–$3,800/yr
Professional Liability / E&OPL/E&ORecommended$238–$665/yr
Business Owner's PolicyBOPOptional$380–$1,045/yr
Commercial AutoCAOptional$570–$1,330/yr
Commercial PropertyCPOptional$380–$1,140/yr
Cyber LiabilityCyberOptional$285–$760/yr
Inland Marine / Tools & EquipmentIMOptional$143–$475/yr
SOURCE · National carrier filings · BLS labor statistics · Updated 2026
03

Cost breakdown

General Liability
$285–$713/yr
Cost factors
  • ·Independent vs. facility
  • ·Group vs. individual sessions
  • ·Revenue

Covers client injury during sessions; many facilities require it for independent practitioners.

Workers' Compensation
$1,140–$3,800/yr
Cost factors
  • ·Payroll
  • ·Crew size

Required once you have employees.

Professional Liability / E&O
$238–$665/yr
Cost factors
  • ·Treatment modalities
  • ·Licensing board requirements

Covers malpractice or technique-related claims; often bundled with GL in a comprehensive policy.

Business Owner's Policy
$380–$1,045/yr
Cost factors
  • ·Practice value

If you lease a private practice space.

Commercial Auto
$570–$1,330/yr
Cost factors
  • ·Mobile practice
  • ·Driving frequency

If you travel to clients extensively.

Commercial Property
$380–$1,140/yr
Cost factors
  • ·Practice ownership

If you own or lease a practice space.

Cyber Liability
$285–$760/yr
Cost factors
  • ·Client health data stored

Relevant if you store digital health records or client data.

Inland Marine / Tools & Equipment
$143–$475/yr
Cost factors
  • ·Portable equipment value

Covers portable equipment used in clients' homes.

COST MODEL · National carrier ranges adjusted for North Dakota market conditions · Multiplier 0.95×
04

Best carriers for home health aide

Embroker
AM Best: A
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Hiscox
AM Best: A
direct
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NEXT Insurance
AM Best: A-
direct
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Simply Business
AM Best: A
direct
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Thimble
AM Best: A
direct
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05

Home Health Aide insurance in North Dakota — FAQ

Do home health aides need insurance?+

Yes. The main policies home health aides need are general liability and workers' comp.

How much does home health aide insurance cost?+

A typical home health aide can expect to pay general liability runs $300–$750 per year, professional liability $250–$700, workers' comp $1200–$4000 depending on payroll, and commercial auto $600–$1400 per vehicle. Total annual premiums for a small operation usually range from $1,500 to $8,000 depending on coverage choices, revenue, and number of employees.

Is workers' comp required for home health aides?+

Yes, in nearly every state — once you have W-2 employees. Texas is the only state where workers' comp is optional. Even sole-proprietor home health aides often carry it because the physical nature of health work makes injuries common.

What does general liability cover for a home health aide?+

General liability covers third-party bodily injury and property damage — for example, if a customer is injured on site or you accidentally damage a client's property. It does not cover your own injuries or professional errors (those need workers' comp and professional liability).

Does my personal auto insurance cover my home health aide business?+

No — personal auto policies typically exclude business use. If you drive a vehicle for work (transporting equipment, visiting clients, making deliveries), you need a commercial auto policy.

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