Home health agency insurance

Insurance built for North Dakota home health agencies

GL, professional liability, abuse & molestation, employee dishonesty bonds, and hired/non-owned auto — from brokers who know NDDHS and WSI requirements.

Former home health agency owners — we know your risks
Licensed and writing home health in 50 states
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A+ rated carriers
NDDHS
compliance expertise
Fargo · Bismarck · Grand Forks
No coverage gaps at renewal
Why HOME HEALTH agencies come to us

Most brokers miss the coverage gaps that put your license at risk

01

Your caregivers drive clients in their own cars. Most policies don't cover that. One accident and you're personally exposed.

02

North Dakota requires workers compensation for all employers through the exclusive WSI state fund — failure to enroll is a licensure violation. Standard policies rarely address this correctly.

03

One abuse or neglect allegation can end your agency without the right coverage in place. Most brokers don't even offer this policy.

What we cover

Everything your North Dakota home health agency needs — including what others forget

General liability

Covers bodily injury and property damage claims from your operations or aides working in client homes.

State minimum required

Professional liability

E&O coverage for claims arising from care decisions, missed visits, or alleged negligent service delivery.

Strongly recommended

Abuse & molestation

Critical for home health. Covers claims of sexual abuse or molestation involving aides and vulnerable clients in their homes. Routinely excluded from standard GL policies — most brokers never think to add it.

Often excluded — ask your broker

Crime / employee dishonesty bond

Protects your agency if an employee steals from a client or from your business. Required by many referral sources and essential when aides have unsupervised access to clients' homes and belongings.

Bond required by state regulator

Workers compensation

North Dakota requires workers' compensation for all employers through the exclusive state fund (WSI). Home health agencies must be enrolled with WSI as a condition of licensure and managed care contracting.

Required by most contracts

Hired / non-owned auto

Covers your agency when aides use their personal vehicles to drive to client appointments — the gap most policies quietly ignore.

Recommended
North Dakota
COMPLIANCE

We know what NDDHS expects — so your policy always meets it

North Dakota
-specific compliance notes

North Dakota home health agencies are licensed through NDDHS. Workers' compensation is required for all employers with one or more employees — North Dakota operates an exclusive state workers' compensation fund (WSI). Most referral sources and ND Medicaid managed care contracts require at least $1M per occurrence in general liability coverage. Employee dishonesty bonds are required by most referral sources and managed care organizations.

Regulator

North Dakota Department of Health and Human Services (NDDHS)

Recommended GL minimum

$1M per occurrence / $3M aggregate

Market size

150+ NDDHS-licensed home health agencies statewide

Employee dishonesty bond

Bond required by state

Vendors & referral sources we work with

Area Agencies on Aging

  • Lake Region AAA (Devils Lake)
  • Souris Basin Planning Council AAA (Minot)
  • Southeast ND AAA (Fargo)
  • West Central Human Service Center AAA (Bismarck)

North Dakota Medicaid

  • ND Medicaid (largely fee-for-service)
  • Sanford Health Plan

Other

  • ND Aging Services Division
  • ND Developmental Disabilities Division
FAQ

Does North Dakota require workers compensation for home health agencies?

Yes — North Dakota requires workers compensation for all employers through the exclusive WSI state fund. Private carriers are not permitted. Home health agencies must be enrolled with WSI as a condition of licensure.

What is WSI and how does a home health agency enroll?

WSI is North Dakota's exclusive state workers compensation fund. All employers must purchase through WSI. We help new agencies navigate the WSI enrollment process.

Do North Dakota home health agencies need abuse and molestation coverage?

Yes — required by most ND referral sources and managed care organizations.

What insurance do ND Medicaid contractors need?

Contracts require general liability of at least $1M per occurrence / $3M aggregate, professional liability, WSI workers compensation, and an employee dishonesty bond.

Does my North Dakota agency need hired and non-owned auto coverage?

If caregivers drive personal vehicles to client homes across North Dakota's rural geography, your GL does not cover that exposure.

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Boring Insurance Agency