Question
What insurance do I need to start a group home or care home for seniors?
Short answer
Before the first resident moves in you need general and professional liability on one policy (with abuse coverage included, not excluded), property coverage for the building or a tenant policy if you lease, workers compensation for caregivers, and auto coverage if you will drive residents; your state license and your lease may also require specific coverage or limits.
The core policies
General and professional liability, ideally on one policy so there is no gap between them. Professional liability is the part that answers a claim that a resident was hurt because of the care you gave or did not give, which is the claim a care home actually faces.
Abuse and molestation coverage. At this size it is often excluded entirely or sublimited to a small amount. Ask for it to be included and for the sublimit to be stated.
Property on the building and contents at replacement cost, or a tenant policy if you lease the house. Workers compensation for your staff (required in most states; in Texas it is optional, but going without it carries its own obligations and exposure). Auto coverage, including hired and non-owned auto, if you or a caregiver will ever drive a resident.
Who else will ask for proof
Your state licensing agency may require evidence of liability insurance before issuing or renewing a license, and some states set a minimum amount. Your landlord or lender will usually require specific coverage and to be named on the policy. Some referral agencies and Medicaid waiver programs require their own certificate. Read each of these before buying, because it is far cheaper to buy the right policy once than to fix it after a certificate is rejected.
The mistake most new owners make
Buying a general business owner policy because it is quick and inexpensive. It covers the building and slip and fall injuries, and it usually excludes professional services, which means it excludes the care claims that close small homes. The certificate looks fine to a landlord and fails at the first serious incident.
What to have ready
Your license application or the licensing rules for your facility type, your lease or loan agreement, the number of beds and level of care, and your staffing plan. Send those to an agent who works in this class. We review them free and tell you what coverage each document requires.
Primary sources
Sources and references
This answer draws on the following regulatory, statutory, and standards-body sources. Coverage availability and program structure also depend on market appetite and underwriter discretion not captured by these sources.
- Texas Labor Code ch. 406, workers compensation coverage (optional for private employers)https://statutes.capitol.texas.gov/Docs/LA/htm/LA.406.htm
Related practice areas
Insurance clauses in this area
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