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Revealed – the ten largest staff’ compensation insurance coverage suppliers within the US

How does staff’ compensation insurance coverage work?

Staff’ compensation insurance coverage, typically known as staff comp protection, is a type of enterprise insurance coverage that pays out the price of medical care and a part of the misplaced revenue of workers who get sick or injured whereas performing their jobs. It additionally protects the enterprise proprietor from the monetary legal responsibility of getting to pay for bills arising from work-related diseases and accidents out of pocket.

Virtually all states require companies to take out staff’ compensation protection, with the charges and degree of canopy various, relying on the place and during which business the enterprise operates.

Every state units staff comp premiums primarily based on a variety of things. These embrace the workers’ job classifications – which mirror the riskiness of the work they do – and the corporate’s payroll and previous staff comp claims – additionally known as “expertise modification” – in line with Trusted Alternative, a Virginia-based community of insurance coverage brokers and brokers.

The state additionally decides who handles and sells staff’ compensation insurance coverage insurance policies. These could also be state-run businesses, personal insurance coverage corporations, or the state itself.

Learn extra: Fixing the commonest ache level in staff’ comp claims

What does staff’ compensation insurance coverage cowl?

Staff’ compensation insurance coverage insurance policies present a number of kinds of coverages, together with:

  • Medical bills: This covers the price of medical remedy for the sick or injured employee, equivalent to docs’ and hospital visits, surgical procedure, and medicine. Relying on the state and business, medical bills associated to COVID-19 may be coated.
  • Misplaced revenue: Staff’ compensation protection pays out a part of the worker’s wage within the occasion they should take break day from work due to the sickness or harm they sustained. This serves to make sure that staff have a supply of revenue whereas they get better.
  • Ongoing care: Staff comp insurance policies additionally assist pay for the bills incurred if the worker requires prolonged medical care as a result of a work-related harm or sickness. This consists of occupational and bodily remedy, and different rehabilitation prices.  
  • Incapacity advantages: Workers who turn into disabled due to a office accident are eligible for full or partial incapacity advantages, which assist cowl medical payments and a few misplaced wages.
  • Dying advantages: If the job-related harm or sickness leads to the dying of an worker, staff’ compensation insurance coverage pays out for his or her funeral and burial bills and gives monetary advantages for his or her beneficiaries.

Learn extra: Do staff’ compensation advantages cowl psychological health-related claims?

What’s excluded from staff’ compensation protection?

Nonetheless, not all diseases and accidents that happen within the office are coated by staff’ compensation insurance policies. Among the many incidents which are excluded from protection are:

  • Accidents that occur whereas the worker is on the best way to or going dwelling from work
  • Accidents sustained whereas the employee is intoxicated or below the affect of unlawful medicine
  • Accidents from leisure actions as these are usually not thought-about job-related even when they happen within the office
  • Meals poisoning whereas on lunch break from meals purchased or introduced from dwelling as breaks are additionally not seen as work-related
  • Different self-inflicted or intentional accidents

Workers of the federal authorities are additionally not coated by staff’ compensation insurance coverage as they have already got protection below the Federal Workers’ Compensation Act (FECA). This team of workers embrace: 

  • Civilians working within the govt, legislative, and judicial branches of presidency
  • State and native regulation enforcement officers performing in a federal capability
  • Peace Corps volunteers
  • College students in Reserve Officer Coaching Corps applications
  • Federal jurors
  • Members of the Coast Guard Auxiliary and Civil Air Patrol

Learn extra: What’s not coated below staff’ compensation insurance policies?

How a lot does staff’ compensation insurance coverage value?

Similar to in different kinds of insurance coverage insurance policies, premiums for staff’ compensation protection are decided utilizing a variety of threat elements. These embrace the kind of business, job classification codes, expertise modification ranking, and security measures carried out.

Small companies pay about $47 month-to-month, or about $560 yearly for protection, in line with an estimate by Trusted Alternative. The group famous, nonetheless, that this fee is “center of the pack for small companies.” For bigger corporations concerned in riskier occupations equivalent to building companies, the fee could be a lot greater.

The desk under exhibits a pattern calculation of staff comp premiums for various industries achieved by the group.


Median annual premiums

Building and contracting




Cleansing providers


Meals and beverage






Healthcare professionals


Photograph and video


Actual property


Constructing design


Supply: Trusted Alternative

Learn extra: Office violence an ever-growing concern for employers

What are the biggest staff’ compensation insurance coverage suppliers within the US?

Direct written premiums (DWP) for staff’ compensation protection throughout the nation reached $52.25 billion in 2021 – a 2.1% uptick from the earlier yr, in line with current evaluation by S&P World Market Intelligence.

Of this determine, the ten largest staff’ compensation insurance coverage suppliers within the US accounted for $22.4 billion, or 43% of the general market, the most recent market share report from the Nationwide Affiliation of Insurance coverage Commissioners (NAIC) has revealed.

Though there have been no modifications within the insurance coverage corporations included within the high 10 from the earlier yr, there was an enormous shake-up within the rankings, significantly from the third to the ninth spot.

Staff comp insurance coverage business leaders Vacationers and The Hartford proceed to dominate the market, retaining the highest two spots in 2021. These companies management greater than 13% of the market.

AmTrust Monetary, in the meantime, made the largest bounce, leapfrogging 4 business giants, together with Berkshire Hathaway, to assert third place. Rounding up the highest 5 are Zurich and Chubb, which each dropped a notch within the listing.

Listed below are the ten largest staff’ compensation insurance coverage corporations within the US by direct premiums primarily based on NAIC’s knowledge.

1. Vacationers

Direct written premiums: $3.5 billion

Market share: 6.8%

2020 rating: 1st

Vacationers is a worldwide insurance coverage service providing a variety of coverages for people and companies. It owns a number of insurance coverage manufacturers, together with St. Paul Fireplace & Marine and USF&G, and gives staff’ compensation insurance coverage in virtually each state, excluding Alaska, Hawaii, Ohio, North Dakota, Washington, and Wyoming. Vacationers is the sixth largest property and casualty (P&C) insurer within the nation, in line with NAIC’s newest figures.

2. The Hartford

Direct written premiums: $3.3 billion

Market share: 6.3%

2020 rating: 2nd

The Hartford is one other international P&C insurer that gives protection to multiple million small companies. Its staff’ compensation insurance coverage comes with a most popular medical supplier community, prescription drug options, a needle stick reimbursement program, a nursed again to well being program, and pay-as-you-go billing options. Shoppers even have entry to applications that help worker well being and well-being by particular preparations with Footwear for Crews, The Naturally Slim Program, Herman Miller, and Aurico.

3. AmTrust Monetary

Direct written premiums: $2.4 billion

Market share: 4.7%

2020 rating: seventh

AmTrust Monetary is a distinct segment specialty P&C insurance coverage supplier for small companies, with an emphasis on staff’ compensation protection. The insurer’s staff’ comp protection is well-suited for artisan contractors, magnificence outlets, buildings-operations by house owners or contractors, docs and dentists, lodges, machine shops-light metalworking, personal colleges, skilled places of work, eating places, retail shops, and wholesale shops.

4. Zurich Insurance coverage

Direct written premiums: $2.3 billion

Market share: 4.5%

2020 rating: third

Zurich Insurance coverage Group is a multi-line insurer that gives P&C and life insurance coverage services and products in additional than 210 international locations and territories. The insurance coverage big’s staff’ compensation insurance policies provide staff entry to a variety of in-house managed care and return-to-work applications, in addition to litigation administration and restoration providers.

5. Chubb

Direct written premiums: $2.2 billion

Market share: 4.2%

2020 rating: 4th

Chubb is the seventh largest P&C insurance coverage supplier within the US in 2021 and has operations in additional than 50 international locations and territories. Chubb Ltd., its dad or mum firm, is listed on each the New York Inventory Trade and S&P 500 index. The insurer presents staff’ compensation protection for companies of all sizes, plus extra protection for corporations that self-insure predictable losses however want protection for catastrophic exposures.

6. Liberty Mutual

Direct written premiums: $2.1 billion

Market share: 4.0%

2020 rating: fifth

Liberty Mutual is a worldwide insurer with greater than 800 places of work in 30 international locations and territories around the globe. Additionally it is the fifth largest P&C insurance coverage supplier within the US final yr. The mutual insurer’s staff’ comp protection helps injured workers get hold of medicines for work-related accidents with out out-of-pocket bills and entry high quality, reasonably priced remedy from its community of native medical suppliers. Liberty Mutual additionally owns a number of insurance coverage manufacturers, together with Safeco, Ironshore, and Golden Eagle.

7. Berkshire Hathaway

Direct written premiums: $1.9 billion

Market share: 3.7%

2020 rating: sixth

Warren Buffett’s conglomerate, Berkshire Hathaway, owns a number of insurance coverage corporations, together with Berkshire Hathaway GUARD Insurance coverage Firms and Utilized Underwriters, with each subsidiaries providing staff’ compensation insurance coverage. Utilized Underwriters focuses on offering staff’ comp insurance coverage options for SMBs within the US, whereas Berkshire Hathaway GUARD presents different insurance coverage merchandise – together with enterprise proprietor’s coverage, business auto, business umbrella, incapacity, householders, private umbrella, {and professional} legal responsibility.

8. New York State Insurance coverage Fund

Direct written premiums: $1.7 billion

Market share: 3.3%

2020 rating: ninth

New York State Insurance coverage Fund (NYSIF) is New York’s largest staff’ compensation service. As a self-supporting insurance coverage supplier, NYSIF’s position is to compete with different carriers to make sure a good market and be a assured insurer for employers who can’t get protection elsewhere. It additionally serves as a state fund for incapacity advantages, which insures employers in opposition to off-the-job worker harm or illness that leads to incapacity.  

9. Blue Cross Blue Defend of Michigan

Direct written premiums: $1.6 billion

Market share: 3.2%

2020 rating: eighth

Blue Cross Blue Defend of Michigan (BCBSM) is a non-profit mutual insurance coverage firm and an impartial licensee of the Blue Cross and Blue Defend Affiliation. It’s Michigan’s largest well being insurer, serving 4.5 million folks within the state plus 1.6 million in different states. The corporate owns AF Group, which in flip owns a number of subsidiaries that write staff’ comp, together with Accident Fund, United Heartland, CompWest, and Third Coast Underwriters

10. Outdated Republic

Direct written premiums: $1.3 billion

Market share: 2.5%

2020 rating: tenth

Outdated Republic is a specialty insurer that writes a variety of insurance coverage options, together with staff’ compensation for varied industries, by its insurance coverage manufacturers. Amongst these subsidiaries are Outdated Republic Danger Administration and Outdated Republic Aerospace.



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