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How to Get Workers' Compensation Insurance in North Carolina: Everything You Need to Know

Are you a North Carolina business owner looking for reliable workers’ compensation insurance?
The Allen Thomas Group provides tailored workers compensation solutions that protect your business and employees while meeting all state requirements.
For over 20 years, our team of experienced commercial insurance agents has helped North Carolina businesses find the right coverage at competitive rates.
Contact us today at (440) 826-3676 to learn how we can safeguard your company with customized workers compensation insurance.
Table of Contents
North Carolina Workers Compensation Requirements: Who Needs Coverage
North Carolina law mandates that businesses with three or more employees must carry workers’ compensation insurance. This requirement applies to all types of workers—whether they’re full-time, part-time, or seasonal employees.
Understanding who counts as an employee under North Carolina law is critical for proper compliance:
- The Three-Employee Threshold: Once you hire your third worker, coverage becomes mandatory
- Employee Types: All regular employees count toward this threshold, regardless of hours worked
- Corporate Officers: Can count as employees under the law
- Family Members: Family members who work for your business count toward the three-employee minimum
Certain workers are exempt from these requirements, including:
- Casual employees
- Domestic servants
- Farm laborers (when fewer than 10 full-time, non-seasonal farm laborers are employed)
- Federal government employees
- Railroad employees
- Certain agricultural product sellers
Failing to comply with North Carolina workers’ compensation laws can result in severe penalties, including fines ranging from $50 to $100 per day per employee.
Willful failure to secure coverage can even result in felony charges.
Comprehensive Benefits Under North Carolina Workers Comp Policies
A proper workers compensation policy provides crucial protections for both employers and employees when workplace injuries occur. North Carolina workers compensation insurance offers four primary benefit categories:
Workers compensation covers all necessary medical expenses related to workplace injuries or occupational illnesses, including:
- Hospital and doctor visits
- Prescription medications
- Physical therapy
- Medical equipment
- Ongoing treatment costs
There are no deductibles or copays for injured workers, and medical benefits continue for as long as medically necessary.
When employees miss work due to job-related injuries, workers compensation provides partial wage replacement:
- Benefits typically equal 66.67% of the worker’s average weekly wage
- Payments begin after a seven-day waiting period
- If disability extends beyond 21 days, benefits are paid retroactively from the date of injury
- Maximum and minimum weekly benefit amounts are set by state law
North Carolina classifies disability benefits into four categories:
- Temporary Total Disability: For workers completely unable to work during recovery
- Temporary Partial Disability: For workers able to return to limited or light-duty work
- Permanent Partial Disability: For workers with permanent impairments but still able to work
- Permanent Total Disability: For workers permanently unable to return to any employment
When a work-related incident results in death, workers compensation provides:
- Funeral expenses up to the state-mandated limit
- Ongoing financial support for dependents
- Educational benefits for dependent children

Understanding Coverage Exclusions and Exemptions in NC
While most North Carolina employers must provide workers compensation insurance, certain exceptions exist. Understanding these exemptions helps you determine your legal obligations:
Workers Exempt from Mandatory Coverage
Not all workers require coverage under state law. Exemptions include:
- Independent contractors (though misclassification can lead to penalties)
- Domestic workers in private homes
- Casual employees not working in the regular trade or business of the employer
- Commission-only real estate agents
- Certain agricultural workers
Agricultural Operations and Farm Labor Rules
Farm operations have special considerations:
- Farms with fewer than 10 full-time, non-seasonal laborers are exempt
- Seasonal labor doesn’t count toward the threshold
- Once you employ 10 or more workers, coverage becomes mandatory
Independent Contractor vs. Employee Classification
Proper worker classification is crucial for compliance:
- The North Carolina Industrial Commission uses specific tests to determine worker status
- Misclassifying employees as independent contractors to avoid workers comp requirements can result in penalties
- Factors considered include level of control, method of payment, and duration of relationship
The Claims Process: Navigating Workers Comp in North Carolina
When workplace injuries occur, following proper procedures ensures claims are handled efficiently:
- Employees must report injuries to employers within 30 days
- Employers must file Form 19 (First Report of Injury) with their insurance carrier promptly
- Employers must provide injured workers with Form 18 (Notice of Accident) for their completion
- Employers can direct initial medical treatment
- Employers may establish a network of approved medical providers
- Employees must comply with reasonable medical treatment
- Independent medical examinations may be requested
- Insurance carriers evaluate claims and determine appropriate benefits
- Disputes can be appealed to the North Carolina Industrial Commission
- Most benefits begin after a seven-day waiting period
- Settlements require Commission approval
Effective return-to-work strategies benefit both employers and employees:
- Light-duty assignments can reduce claim costs
- Modified work schedules facilitate recovery
- Early return to work improves outcomes
- Employers should collaborate with medical providers on work restrictions
Risk Management: Reducing Workers Compensation Costs
Proactive risk management helps control insurance costs while keeping employees safe:
Safety Program Implementation
Developing comprehensive safety programs is essential for North Carolina employers:
- Regular safety training reduces injury frequency
- Written safety policies establish clear expectations
- Safety committee involvement engages employees
- Accident investigation identifies preventable causes
Experience Rating Modification Factors
Your claims history directly impacts your insurance costs:
- Experience modification factors reward safe workplaces with lower premiums
- Poor safety records result in premium surcharges
- A mod factor below 1.0 indicates better-than-average loss experience
- The Allen Thomas Group helps clients improve their mod factors through targeted risk management
Premium Calculation and Classification Codes
Understanding how your premium is calculated helps manage costs:
- Workers are classified by job duties and risk levels
- Each classification has an assigned rate per $100 of payroll
- Accurate employee classification prevents costly audit surprises
- Regular payroll reporting ensures proper premium calculation
Legal Compliance and Employer Responsibilities
North Carolina employers have specific legal obligations regarding workers compensation:
- All covered employers must display the state-required workers compensation notice
- Posters must be placed in prominent locations accessible to all employees
- Failure to post required notices can result in penalties
Workplace safety compliance works hand-in-hand with workers compensation:
- OSHA regulations establish minimum safety standards
- Required injury logs must be maintained
- Serious injuries require prompt reporting
- The Allen Thomas Group helps clients maintain compliance with all requirements
Failing to carry required workers compensation coverage in North Carolina carries serious consequences:
- Fines range from $50 to $100 per day per employee
- Corporate officers may face personal liability
- Willful violations can result in criminal charges
- Employers without coverage lose important legal protections
Workers Compensation Insurance Options for NC Businesses
North Carolina employers have several options for securing workers compensation coverage:
Private Insurance Carriers
Most businesses obtain coverage through licensed insurance companies:
- Competitive rates based on industry, payroll, and claims history
- Policy features may vary between carriers
- The Allen Thomas Group works with multiple carriers to find optimal coverage
Self-Insurance Qualifications
Larger employers may qualify to self-insure their workers compensation risk:
- Requires substantial financial resources
- Must demonstrate ability to handle claims
- Requires approval from the North Carolina Department of Insurance
- May provide cost savings for qualifying organizations
Policy Features and Options
Workers compensation policies can be customized with various features:
- Employer liability limits beyond statutory requirements
- Deductible options to manage premium costs
- Multi-state coverage for businesses operating across state lines
- Industry-specific endorsements
Customized Coverage: Industry-Specific Workers Comp Solutions
Different industries face unique workplace risks that require specialized approaches:
Construction, manufacturing, and other high-risk industries need specialized coverage:
- Enhanced safety program development
- Regular worksite inspections
- Specialized training for hazardous operations
- The Allen Thomas Group has extensive experience in high-risk sectors
Small North Carolina businesses have unique workers compensation needs:
- Pay-as-you-go options to manage cash flow
- Simplified classification structures
- Combined coverage packages with other business insurance
- Competitive rates through our carrier relationships
As workforces evolve, workers compensation must adapt:
- Coverage for telecommuting employees
- Multi-state considerations for remote workers
- Home office safety guidelines
- The Allen Thomas Group helps clients navigate these emerging challenges

Tailored Worker's Comp Insurance Solutions Built For Your NC Business
We know how frustrating and complex the process of finding the right North Carolina business insurance can be and how it slows down your ability to care for your customers. Let us help craft a policy that works for you.

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Why Choose The Allen Thomas Group for Your North Carolina Workers Comp Needs
The Allen Thomas Group brings over 20 years of experience helping North Carolina businesses protect their operations and employees:
Tailored Policy Development Process
We don’t believe in one-size-fits-all insurance solutions:
- Comprehensive needs assessment
- Risk evaluation specific to your industry
- Custom coverage recommendations
- Ongoing policy reviews as your business evolves
Claims Management Support
When injuries occur, our team provides crucial support:
- Guidance through the claims process
- Advocacy with insurance carriers
- Return-to-work program development
- Claims cost monitoring and control
Long-Term Partnership Approach
We build lasting relationships with our clients:
- Regular coverage reviews as your business grows
- Risk management consulting to prevent claims
- Industry-specific safety resources
- Proactive communication about regulatory changes
Don’t settle for generic workers compensation coverage. The Allen Thomas Group delivers personalized workers’ compensation insurance tailored to your North Carolina business’s unique needs.
Contact us today at (440) 826-3676 to discuss how we can protect your business and employees with the right worker’s compensation solution.
Get More Insights On Making The Right Insurance Decision For Your Company
Does North Carolina Require Workers' Compensation Insurance?
Yes, North Carolina law mandates that all businesses with three or more employees must carry workers’ compensation insurance, regardless of whether these employees are full-time, part-time, or seasonal. Certain exceptions exist for specific worker categories including casual employees, domestic servants, and farm operations with fewer than 10 full-time non-seasonal laborers.
These requirements aim to provide protection for workers injured on the job and ensure their access to necessary medical treatment and wage replacement benefits.
How Much is Workers' Compensation Insurance in North Carolina?
North Carolina workers’ compensation insurance costs typically range from $0.50 to $5.00 per $100 of payroll, with the exact premium determined by your industry classification code, total payroll, and experience modification factor. Rates vary significantly between industries, with high-risk sectors like construction and manufacturing paying substantially more than low-risk businesses like professional services or retail.
How to Get Workers' Comp in North Carolina?
Business owners can obtain workers’ compensation insurance in North Carolina through licensed private insurance carriers, with The Allen Thomas Group helping match your specific business needs to the right carrier and policy features. The application process requires providing details about your business operations, employee count, payroll information, and claims history to receive appropriate coverage that meets all state requirements.
Areas We Serve in North Carolina
Aberdeen
Albemarle
Angier
Apex
Archdale
Archer Lodge
Asheboro
Asheville
Ayden
Belmont
Bessemer City
Black Mountain
Boiling Spring Lakes
Boone
Brevard
Burlington
Butner
Carolina Beach
Carrboro
Cary
Chapel Hill
Charlotte
Cherryville
Clayton
Clemmons
Clinton
Concord
Conover
Cornelius
Cullowhee
Davidson
Dunn
Durham
Eden
Elizabeth City
Elon
Erwin
Etowah
Fayetteville
Fletcher
Forest City
Fuquay-Varina
Garner
Gastonia
Gibsonville
Goldsboro
Graham
Greensboro
Greenville
Half Moon
Hamlet
Hampstead
Harrisburg
Havelock
Henderson
Hendersonville
Hickory
High Point
Hillsborough
Holly Springs
Hope Mills
Huntersville
Indian Trail
Jacksonville
James City
Kannapolis
Kernersville
Kill Devil Hills
King
Kings Grant
Kings Mountain
Kinston
Knightdale
Lake Norman of Catawba
Laurinburg
Leland
Lenoir
Lewisville
Lexington
Lincolnton
Lumberton
Marion
Marvin
Matthews
Mebane
Mills River
Mint Hill
Mocksville
Monroe
Mooresville
Morehead City
Morganton
Morrisville
Mount Airy
Mount Holly
Murraysville
Myrtle Grove
Nashville
New Bern
Newton
Oak Island
Oak Ridge
Ogden
Oxford
Pinehurst
Pineville
Piney Green
Porters Neck
Raleigh
Reidsville
Roanoke Rapids
Rockingham
Rocky Mount
Rolesville
Roxboro
Salisbury
Sanford
Sawmills
Selma
Shelby
Siler City
Silver Lake
Smithfield
Southern Pines
Spring Lake
St. James
St. Stephens
Stallings
Statesville
Stokesdale
Summerfield
Tarboro
Thomasville
Trinity
Unionville
Wadesboro
Wake Forest
Walkertown
Washington
Waxhaw
Waynesville
Weddington
Wendell
Wesley Chapel
Whiteville
Williamston
Wilmington
Wilson
Winston-Salem
Winterville
Woodfin
Wrightsboro
Zebulon