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Who insures it · 6 named markets · read 2026-10-28

Who insures Home health and hospice?

Home health and hospice is a risk most standard carriers decline on sight. The markets below say in their own published appetite or program pages that they write it; each line links to that page with the date it was read.

6 markets publicly write Home health and hospice: Philadelphia Insurance Companies (PHLY), Pharmacists Mutual Insurance Group (PM Healthcare Protect), Amwins Program Underwriters (Home Health Care insurance program), Admiral Insurance Group, Kinsale Insurance and others. 3 admitted carriers, 2 E&S carriers, 1 program administrator.

By Sam Alishahi, independent insurance broker

The markets

Who says they write it

From each market's own appetite, product or program page (or a trade article quoting it), read on the date shown. Appetites change: the linked page controls. A market listed here isn't necessarily one this agency is appointed with; a licensed broker reaches most of them directly or through a wholesaler.

MarketWhat they say they writeWherePaperSource
Philadelphia Insurance Companies (PHLY)
Admitted carrier
Home Health Care/Hospice package with separate limits for General Liability, Professional Liability and Abuse & Molestation (if eligible), Excess Liability with one carrier, special-form property with loss of income, and a separate Directors and Officers Liability policy; its home health care page says it specializes in the Home Health Care Industry for risks across the United States.
“Our Home Health Care/Hospice package is insurance uniquely designed to fulfill a wide range of special insurance needs”
not statednot statedphly.com · read 2026-10-28
Pharmacists Mutual Insurance Group (PM Healthcare Protect)
Admitted carrier
PM Healthcare Protect: professional liability for individual home healthcare professionals (RNs and others) plus general liability, commercial property, cyber, employment practices, workers compensation, commercial auto and umbrella for home healthcare agencies; a companion page offers the same program for in-home hospice providers.
“General liability and commercial property insurance for home healthcare agencies”
not statednot statedpmuw.com · read 2026-10-28
Amwins Program Underwriters (Home Health Care insurance program)
Program administrator
Package P&C program (formerly Smith, Bell & Thompson) for home health care agencies/providers, hospice providers, medical equipment suppliers and companion care providers: professional liability, general liability, employee benefits liability, non-owned & hired auto, crime/fidelity bond, property and excess, on an A.M. Best A-rated carrier.
“offers package P&C insurance coverage for home health and hospice providers”
all states except NY (surplus lines in Miami-Dade and Broward Counties, FL)bothamwins.com · read 2026-10-28
Admiral Insurance Group
E&S carrier
Home Health Care professional liability (claims made & reported with incident reporting) and general liability (claims made or occurrence) with hired & non-owned auto and employee benefits liability, primary and follow-form excess; sample classes include Hospice Care, Infusion Therapy, In-Home Cancer Treatment, Skilled Care, Personal & Companion Care and Staffing.
“Admiral’s extensive and unique coverage tailored specifically for Home Health Care professionals.”
not statednot statedadmiralins.com · read 2026-10-28
Kinsale Insurance
E&S carrier
Allied Health Division Miscellaneous Medical target classes include Home health care and Hospice care, alongside medical staffing, outpatient clinics, medical transportation and pharmacies.
“Home health care”
not statednot statedkinsaleins.com · read 2026-10-28
Chubb
Admitted carrier
Healthcare organization coverage whose outpatient segment names home health agencies, imaging facilities, dialysis centers and pharmacies; the Outpatient Medical Facilities page lists Home Healthcare Agencies, Hospice Facilities and Staffing/Nurse Registries as classes of business with state-specific new-business applications.
“Chubb policies can mitigate a broad range of risks for home health agencies, imaging facilities, dialysis centers”
not statednot statedchubb.com · read 2026-10-28

Also verified but left out to stay within six: ProAssurance Miscellaneous Medical (Home Health, Hospice; E&S basis; https://proassurance.com/miscellaneous-medical), Beazley Miscellaneous Medical Liability (Home health/companion care/hospice), Burns & Wilcox Healthcare (Home Healthcare, Hospice), West Bend nonprofits page (Hospice care). Hiscox returned 403 and Markel's US product pages 404ed, so neither could be verified.

How Home health and hospice gets placed

Standard markets first where any will look at it; when they won't, the placement goes through surplus lines, where a licensed surplus lines broker places it with an eligible non-admitted insurer and files the state's surplus lines tax and stamping forms. In California, risks on the Department of Insurance export list can go to surplus lines without the usual diligent search of admitted carriers. Surplus lines policies aren't backed by a state guaranty fund, so the insurer's financial rating matters more.

What an underwriter will want before quoting: a full description of the operation, years in business and the owners' experience, revenue or payroll, loss runs (five years where available, currently valued), the contracts or venue requirements that set the limits, and photos or safety plans where the hazard is physical.

I'm licensed in 49 states and Washington, DC and your request stays with my agency, not passed to another agent. In Florida, where my licenses are still being issued, a partner agency in your state helps in the meantime.

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