What to know about workers' compensation in North Carolina

Workers’ compensation, which can provide cash and medical care to employees injured on the job, and benefits to survivors in cases of a work-related death, began with a federal program in 1908. It gave benefits to civilian workers whose jobs were hazardous and became the first kind of social insurance established across the United States.

By 1916, the rest of the federal workforce was covered. States meanwhile were enacting their workers’ compensation laws. All but six states and the District of Columbia had them by 1921.

Today, programs exist in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.

The details of each program vary by state. Four states—Ohio, North Dakota, Washington and Wyoming—require insurance be obtained through a state-administered fund rather than through a private insurer. Another option is to self-insure for approved businesses. Most states require some businesses to provide coverage and can levy substantial fines for failing to comply. South Dakota and Texas leave the choice to businesses, although Texas makes an exception for construction companies with a government contract.

Simply Business reviewed rules, statistics, and other information about workers’ compensation insurance—including the comprehensive breakdown by the National Federation of Independent Business—to offer a breakdown of what workers’ comp requirements in each state. Rules are subject to updates periodically, so it’s important to stay up-to-date based on your trade and location.

Workers' Compensation in North Carolina

North Carolina businesses with three or more employees have to carry workers’ compensation insurance for all, and that includes minors and undocumented workers. If one or more employees work for a business that deals with radiation, it must have compensation insurance. Domestic workers are exempt. Agricultural employees have to carry insurance only if they have 10 or more nonseasonal workers. Penalties of $1 for each employee, but not less than $50 or more than $100 a day, can be assessed for noncompliance.

Workers’ Compensation Benefits, Costs, and Coverage, an October 2021 report from the National Academy of Social Insurance, found that total benefits paid to employees rose by 0.4% nationwide from 2015 to 2019. Cash benefits rose by 2%, but medical benefits fell by 1.1%. Standardized benefits fell— cash by 14% and medical benefits by 16.7%—over the same period.

Keep reading to see what workers' compensation looks like for other states in your area.

Workers' Compensation in Georgia

An employer must carry coverage if it has three or more employees. In Georgia, sole proprietors and partners are counted as employers, not employees. Employers that fail to carry coverage face penalties of up to $5,000 per violation. Fines for false statements to try to obtain or deny compensation can reach $10,000. A jail term of up to 12 months is also possible.

Workers' Compensation in South Carolina

In South Carolina, employers with at least four regular full- or part-time employees must have workers’ compensation insurance. Employees include minors and seasonal workers. Some real estate salespeople who are paid on commission are exempt as are agricultural employees, railroad companies and their employees, and textile hall corporations. Employers with payroll that was less than $3,000 in the previous year also are excluded.