Florida Home Health Care Business Insurance

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Running a home health care business in Florida means juggling many responsibilities, from patient care to regulatory compliance. One critical element that often gets overlooked until it’s too late is insurance. Understanding the nuances of business insurance tailored for home health care providers can save your company from costly setbacks and protect your livelihood.


Florida’s insurance market has faced significant upheavals recently, affecting premiums and coverage availability. For instance, property insurance rates in Florida have surged by 125% over the past five years, with a 27% jump in premiums just in 2023 alone. This volatility impacts many sectors, including home health care businesses that rely on property and liability coverage to operate safely and legally. More on this later, but first, let’s break down what insurance your home health care business needs and why it matters.

Why Home Health Care Businesses Need Specialized Insurance

Home health care providers face unique risks that differ from traditional medical facilities or other service businesses. Employees work in patients’ homes, often alone, which raises liability concerns. Equipment and medical supplies are transported regularly, increasing the risk of damage or loss. Plus, patient safety and privacy are paramount, requiring coverage that addresses professional liability and data protection.


Insurance for your home health care business isn’t just a regulatory checkbox. It’s a financial shield against lawsuits, property damage, employee injuries, and even cyber threats. Without the right policies, a single claim could jeopardize your entire operation. Furthermore, the nature of home health care often involves working with vulnerable populations, including the elderly and those with chronic illnesses, which can amplify the stakes involved in any potential legal disputes. The emotional and financial toll of a lawsuit can be devastating, not only for the business but also for the families involved, making it crucial to have robust insurance coverage in place.


Given Florida’s complex insurance environment, securing comprehensive coverage at a reasonable price can be challenging. The state’s property insurance market has seen a dramatic decline in active policies, dropping 78% between 2014 and 2024, as many private insurers have pulled out. This trend has put pressure on businesses to find alternative solutions and adapt to rising costs. Additionally, the increasing frequency of natural disasters in Florida, such as hurricanes and floods, adds another layer of complexity to the insurance landscape. Home health care businesses must navigate these challenges while ensuring they have adequate coverage to protect their assets and their clients. As a result, many providers are turning to specialized insurance brokers who understand the nuances of the home health care industry, helping them tailor policies that meet their specific needs and mitigate potential risks effectively.

By: Montreal Morand

Founder & Managing Partner 

Macpherson Insurance Agency

Index

Macpherson Insurance Agency is fully licensed and permitted to sell personal and commercial insurance across Florida and multiple additional states.

We proudly serve individuals, families, and businesses throughout Coral Gables and the surrounding South Florida communities, partnering with trusted regional and national carriers to provide compliant, affordable, and comprehensive coverage tailored to each client’s needs.

Key Insurance Coverages for Florida Home Health Care Providers

General Liability Insurance


This coverage protects your business from claims related to bodily injury or property damage caused by your operations. For home health care providers, this could mean a patient or visitor slipping and falling during a visit. It covers legal fees, settlements, and medical expenses if your business is found liable. Additionally, general liability insurance can also safeguard against claims of defamation or advertising injury, which can arise from marketing materials or statements made during the course of business. Given the nature of home health care, where interactions with the public are frequent, having this coverage can prevent significant financial strain from unexpected legal challenges.               


Professional Liability Insurance


Also known as malpractice insurance, this is crucial for health care providers. It covers claims arising from negligence, errors, or omissions in the care you provide. In a field where patient outcomes can be life-altering, this coverage offers peace of mind against costly lawsuits. Furthermore, professional liability insurance can also extend to cover legal defense costs even if the claims are found to be unfounded. This aspect is particularly vital in a profession where reputations can be easily tarnished by allegations, regardless of their validity. As patient expectations continue to rise, having robust professional liability coverage is not just a safeguard; it’s a necessity for maintaining trust and integrity in your practice.


Workers’ Compensation Insurance


Florida law requires most businesses with employees to carry workers’ comp. Home health care workers face risks like lifting patients or exposure to illnesses, making this coverage essential. It covers medical expenses and lost wages if an employee is injured on the job. Additionally, workers’ compensation can also provide rehabilitation services to help injured employees return to work more quickly. This is particularly important in home health care, where the workforce is often small and each employee plays a critical role in patient care. By ensuring your staff is protected, you not only comply with legal requirements but also foster a supportive work environment that can enhance employee morale and retention.


Commercial Property Insurance


Even though your business operates in patients’ homes, you likely have equipment, supplies, and possibly office space that need protection. Property insurance covers damage or loss due to fire, theft, or natural disasters. Considering Florida’s exposure to hurricanes and floods, this coverage is especially important. Additionally, commercial property insurance can also cover business interruption, which is vital if your operations are halted due to a covered loss. This means that in the event of a disaster, you can recover lost income and continue to support your clients without significant financial disruption. Protecting your physical assets ensures that you can maintain the high standards of care your patients expect.


Cyber Liability Insurance


Handling sensitive patient information means your business is a target for cyberattacks. Cyber liability insurance helps cover costs related to data breaches, including notification expenses, fines, and legal fees. With growing digital recordkeeping, this coverage is becoming a must-have. Moreover, as telehealth services become more prevalent, the volume of sensitive data being transmitted increases, raising the stakes for potential breaches. Cyber liability insurance not only provides financial protection but also often includes access to risk management services that can help you bolster your cybersecurity measures. This proactive approach can mitigate risks and reassure patients that their personal information is being handled with the utmost care and security.

How Florida’s Insurance Market Changes Affect Home Health Care Providers

Florida’s property insurance market has been in flux, with significant implications for home health care businesses. The state’s property insurance rates have soared by 125% over five years, driven largely by skyrocketing reinsurance costs. Locke Burt, CEO of Security First Insurance, points to these reinsurance expenses as a key factor pushing premiums higher.


Private insurers have retreated from the market, causing a 78% drop in active home insurance policies between 2014 and 2024. This retreat has forced many businesses to rely on Citizens Property Insurance Corp., Florida’s insurer of last resort. However, even Citizens has reduced its policy count by nearly 40% from 1.4 million in 2023 to under 850,000 by early 2025, signaling a shift back towards private insurers as market conditions improve.


Fortunately, legislative reforms aimed at curbing legal abuses have helped stabilize Florida’s property insurance market. In 2024, the market reported its first underwriting profit in nearly a decade, a positive sign for businesses seeking coverage. These reforms have made it easier for home health care providers to find insurance, though premiums remain elevated compared to other states.


For home health care businesses, these market dynamics mean higher costs and fewer options. Planning your insurance budget carefully and working with knowledgeable brokers who understand Florida’s unique challenges can make a significant difference. Additionally, home health care providers are increasingly exploring alternative risk management strategies, such as self-insurance pools or captives, which can offer more control over their insurance costs and coverage options.


Moreover, the changing landscape of Florida’s insurance market has also prompted home health care providers to enhance their operational efficiencies. By investing in technology and improving patient care protocols, these businesses can not only mitigate risks but also demonstrate their commitment to quality care, which can be a persuasive factor when negotiating insurance terms. As the market continues to evolve, staying informed about trends and potential changes will be crucial for providers aiming to navigate these turbulent waters successfully.


Learn more about the impact of rising insurance costs on Florida’s health care sector.

The Growing Home Health Care Industry in Florida

Florida’s home care providers industry is expanding rapidly, projected to reach $11.4 billion by 2025. The sector includes nearly 50,000 establishments and employs over 125,000 people. This growth reflects the state’s aging population and increasing demand for in-home medical and personal care services.


With this expansion comes greater exposure to risks. More businesses mean more competition but also more potential claims. Patient satisfaction has improved significantly, with a University of Florida study noting a 78% increase in “very satisfied” patient ratings over three years. Higher satisfaction often correlates with better care practices, but it also raises expectations and legal scrutiny.


Insurance providers are paying close attention to these trends. Businesses with strong risk management protocols and high patient satisfaction scores may find better premium rates or more tailored coverage options. Investing in quality care and compliance can pay off in insurance savings and reduced liability.


For insights into Florida’s health care trends, see the University of Florida health systems study.

Climate Risks and Insurance Challenges

Florida’s climate presents unique challenges for home health care businesses, especially concerning insurance. The state’s susceptibility to hurricanes, flooding, and other natural disasters increases the likelihood of property damage and business interruptions.


Experts warn that Florida’s insurance crisis is an early warning of broader climate-related financial risks. Max Dugan-Knight, a climate data scientist, highlights how the rising costs and shrinking availability of insurance reflect the growing impact of climate change on the financial system.


For home health care providers, this means preparing for potential disruptions and understanding how climate risks influence insurance premiums. Businesses located in high-risk areas may face higher costs or stricter underwriting requirements. Incorporating disaster preparedness and mitigation strategies can improve resilience and potentially reduce insurance expenses.


Explore the connection between climate risks and Florida’s insurance market in this Insurance Business America report.

Tips for Securing the Right Insurance Coverage

Choosing the right insurance for your Florida home health care business requires careful consideration and expert guidance. Here are some practical tips to help you navigate the process:


  • Assess Your Risks: Identify the specific risks your business faces, including patient care liabilities, employee injuries, property damage, and cyber threats.
  • Work with Specialized Brokers: Find insurance agents or brokers who understand the home health care industry and Florida’s market conditions.
  • Bundle Policies: Consider package policies that combine general liability, professional liability, and property coverage to save costs and simplify management.
  • Review Limits and Exclusions: Ensure your policy limits are adequate and understand any exclusions that might leave gaps in coverage.
  • Stay Compliant: Keep up with Florida’s insurance requirements and industry regulations to avoid penalties and maintain coverage eligibility.


Invest in Risk Management: Implement safety protocols, employee training, and cybersecurity measures to reduce claims and improve your insurance profile.

Insurance is not a one-size-fits-all solution. Regularly reviewing and updating your coverage as your business grows or changes is essential to staying protected.

How Legislative Reforms Are Helping Stabilize the Market

Recent legislative reforms in Florida have played a key role in stabilizing the property insurance market. These changes target abusive legal practices that previously drove up claims costs and premiums.


As a result, the market reported its first underwriting profit in nearly ten years in 2024. This improvement benefits home health care businesses by increasing the availability of private insurance options and potentially moderating premium hikes.


Citizens Property Insurance Corp., which had grown substantially as private insurers exited the market, has started reducing its policy count. This shift indicates a healthier market where private companies are returning, offering more choices to businesses.


For a deeper look at these reforms and their effects, visit this Insurance News analysis.

Frequently Asked Questions About Florida Home Health Care Business Insurance

Q: What types of insurance are mandatory for home health care businesses in Florida?


A: Workers’ compensation insurance is generally required if you have employees. Other coverages like general liability and professional liability are highly recommended but not always mandatory.


Q: Why are insurance premiums so high in Florida?


A: Rising reinsurance costs and increased claims, partly due to natural disasters and legal challenges, have driven premiums up significantly in recent years.


Q: Can I get insurance if my business is located in a high-risk hurricane zone?


A: Yes, but premiums may be higher, and coverage might have specific exclusions. Preparing with mitigation strategies can help lower costs.


Q: How often should I review my insurance policies?


A: At least annually or whenever your business undergoes significant changes such as growth, new services, or changes in staffing.


Q: Does cyber liability insurance cover all data breaches?


A: It covers many costs related to breaches, but policies vary. It’s important to understand the scope of coverage and any limitations.


Q: How do legislative reforms affect my insurance options?


A: Reforms have improved market stability, increasing the availability of private insurance and potentially reducing premium increases.


Q: What should I look for in an insurance broker?


A: Choose someone experienced in Florida’s home health care sector who can tailor coverage to your specific risks and help navigate the market’s complexities.

What to Remember When Choosing Insurance for Your Home Health Care Business

Insurance is a critical part of running a home health care business in Florida. The state’s volatile insurance market means you must be proactive in securing the right coverage at a price that fits your budget. Understanding the specific risks you face, staying informed about market trends, and working with knowledgeable professionals are key steps to protecting your business.


Keep an eye on legislative changes and market developments that could affect your premiums and coverage options. Investing in risk management and patient satisfaction not only improves your care quality but can also enhance your insurance profile.


Florida’s home health care industry is growing fast, and with growth comes both opportunity and risk. Smart insurance decisions help ensure your business can thrive despite the challenges.

ABOUT THE AUTHOR:
MONTREAL MORAND

With over 20 years of leadership experience in the insurance industry, I’ve dedicated my career to helping clients and agents make informed, confident decisions about their coverage. I’ve led high-performing teams, managed more than $128 million in premium, and earned multiple national awards for excellence. Today, my mission remains the same — to educate, empower, and provide dependable protection for the communities we serve.

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  • What types of insurance does Macpherson Insurance Agency offer?

    We provide both personal and commercial insurance solutions. On the personal side: homeowners, automobile, condo, renters, windstorm, flood, excess flood, and more. On the commercial side: general liability, property, inland marine, ocean marine, workers compensation, and more.

  • Do you specialize in homeowners insurance in South Florida?

    Yes. We specialize in homeowners coverage in South Florida and work with multiple carriers based on your property’s age, location and replacement cost.

  • What does “replacement cost” mean in a policy?

    Replacement cost is the cost to rebuild your home to the same standard it had before a loss — not the market value of your property.

  • Why is it important that my insurer is licensed in Florida?

    Licensed Florida insurers are continuously monitored for financial stability — if one fails, the Florida Insurance Guaranty Fund may reimburse insureds for unpaid claims up to a limit.

  • Can I lower my homeowners premium with discounts?

    Yes — mitigation features like impact glass, storm shutters, roof straps, and approved sheathing may qualify you for significant credit reductions.

  • Do you offer payment plans or premium financing?

    Yes. In many cases, payment plans and premium financing are available to make coverage more affordable and manageable over time.

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