Choosing a workers’ comp insurer in North Carolina means weighing your monthly bill against the help your employees get after an injury. How much that help is worth depends on how often your kind of work leads to injuries and how long they take to heal. Use this as a guide:

  • Choose the best insurer if your employees do roofing, remodeling or handyman repairs, or drive all day as couriers or medical transport drivers, since those jobs carry some of North Carolina’s highest rates and the insurer usually picks the treating doctor, so its medical network and claims support matter most after a serious injury. (Compare the Best Insurers)
  • Choose the cheapest insurer if your employees handle payroll processing, copywriting or mortgage brokering, since injuries in that kind of office work tend to be rare and minor, so price can make the call. (See the Cheapest Insurers)

Best Workers' Comp Insurance Companies in North Carolina

ERGO NEXT is the best workers’ comp insurance company for most North Carolina small businesses. It scores 4.54 out of 5 and averages $62 a month per employee, 28% below the $86 state average. It pairs that price with the highest-rated customer service of the insurers we compared and a policy you can buy online in about 10 minutes. The Hartford comes in second at 4.36 out of 5, with the most complete coverage of the insurers we compared and a network of more than 1 million medical providers who treat workplace injuries.  

The Hartford can be the stronger pick when an injury could mean months of treatment, since North Carolina lets the insurer choose the treating doctor and a large network gives injured employees more options. ERGO NEXT fits most other businesses better, especially contractors and anyone who drives for work, where its rates run far below The Hartford’s.

Best Overall and for Fast Online Coverage
4.54
$62
Buy online in about 10 minutes; blanket waiver of subrogation added from your online account
Claims Support and Medical Care
4.36
$82
Network of 1 million+ medical providers; nurse case managers
Buying Direct
4.21
$78
Instant certificate after purchase; no charge for a waiver of subrogation in North Carolina
Managing Subcontractor Certificates
4.13
$77
Free Certificate Manager for collecting subcontractor certificates
24/7 Nurse Triage
3.92
$90
24/7 nurse triage hotline for injured employees

Here’s a closer look at the top three and the kinds of North Carolina businesses each one fits.

ERGO NEXT

ERGO NEXT: Best Overall, Best for Fast Online Coverage

On ERGO NEXT's site
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  • Highest-rated customer service of the insurers we compared

  • Average rate 28% below the North Carolina average

  • Blanket waiver of subrogation you can add from your online account

  • Pay-as-you-go billing through more than 100 payroll partners

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  • Commercial auto available only through partner Progressive

  • No scheduled waivers of subrogation, and the blanket waiver usually raises your premium

COMPANY HIGHLIGHTS

ERGO NEXT is the best workers’ comp insurer in North Carolina for most small businesses, because it combines the state’s lowest average rate, $62 a month per employee and 28% below the $86 state average, with the highest-rated customer service of the insurers we compared. It fits owners who’d rather handle insurance online, and it has the lowest rate for every construction and transportation business type we priced. A house cleaning service that hires its third regular employee crosses North Carolina’s coverage threshold that day, and ERGO NEXT lets the owner buy a policy online in about 10 minutes and get a certificate the next day. Its pay-as-you-go billing ties premiums to each payroll run, so a growing crew pays for the employees it actually has rather than a year-old estimate. Where it falls short is commercial auto, which ERGO NEXT sells only through Progressive. A courier or moving company that wants both policies from one insurer should compare The Hartford, though its workers’ comp rates for transportation businesses run much higher.

Read Our Review: ERGO NEXT Business Insurance Review

The Hartford

The Hartford: Best for Claims Support and Medical Care

On The Hartford's site
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  • Most complete coverage of the insurers we compared

  • Above-average customer service

  • Network of 1 million+ medical providers and nurse case managers

  • 10% off business auto with a workers’ comp policy

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  • Most expensive insurer we priced for construction and transportation

  • Statewide average about $20 a month per employee above ERGO NEXT’s

COMPANY HIGHLIGHTS

The Hartford is the best choice for North Carolina businesses where an injury could mean months of treatment. It scores 4.36 out of 5, driven by the most complete coverage of the insurers we compared and above-average customer service. It fits healthcare practices and shops, with the lowest rate in 37 of 49 healthcare business types and 20 of 39 retail types we priced. If a home health aide hurts a shoulder lifting a patient, North Carolina lets the insurer pick the treating doctor, and The Hartford’s network of more than 1 million providers who treat workplace injuries can get the aide to the right specialist sooner. Every policy also automatically includes voluntary compensation, which can cover workers the law doesn’t require you to insure, such as staff at a business still under North Carolina’s three-employee threshold. Where it falls short is price for contractors and transportation businesses. The Hartford averages $342 a month per employee for construction and $372 for transportation, so those owners should compare ERGO NEXT, at $146 and $187.

Read Our Review: The Hartford Business Insurance Review

biBerk

biBERK: Best for Buying Direct

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  • Average rate 9% below the North Carolina average

  • No extra charge for a waiver of subrogation in North Carolina

  • Instant certificate as soon as you buy

  • Backed by Berkshire Hathaway carriers rated A++ for financial strength

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  • Below-average customer service

  • No commercial auto policy listed for North Carolina

COMPANY HIGHLIGHTS

biBERK is the best choice for North Carolina owners who want to buy direct without an agent. It scores 4.21 out of 5, mainly on affordability, at $78 a month per employee, 9% below the $86 state average. It fits businesses that sign a lot of service contracts and childcare centers, where it has the lowest average rate of the insurers we compared. A janitorial company whose office park contract requires a waiver of subrogation can add it during the online purchase at no extra cost, since biBERK charges for waivers only in Florida, Massachusetts, New York and Texas. Its policies come from carriers rated A++ by AM Best, which matters because a serious injury claim can stay open for years. Where it falls short is customer service, which rated below average, and its North Carolina lineup doesn’t include commercial auto. A business with work vehicles should compare The Hartford, which discounts auto coverage when you also buy workers’ comp from it.

Read Our Review: biBERK Business Insurance Review

Cheapest Workers’ Comp Insurance in North Carolina

ERGO NEXT has the cheapest workers’ comp insurance in North Carolina at $62 a month per employee, 28% below the $86 state average, and Thimble is next at $77. Going with the lowest price is a sound choice for a business like an accounting firm, where injuries are uncommon and usually minor. It carries more risk for remodeling, roofing and handyman crews, the most expensive work to insure in North Carolina, and for jobs spent on the road, because a single bad injury can keep someone out for months and lean heavily on how the insurer manages the claim. Gutter cleaning shows the tradeoff, since a ladder fall can mean surgery and a long recovery, and ERGO NEXT charges $52 a month per employee there while The Hartford charges $53. North Carolina lets the insurer choose the treating doctor, so The Hartford’s network of more than 1 million providers can be worth that extra dollar.

ERGO NEXT
$62
$745
28%
Thimble
$77
$927
10%
biBERK
$78
$941
9%
The Hartford
$82
$989
4%

Your industry shapes your price far more than these statewide figures. North Carolina’s rate bureau publishes a base cost for each job classification, and every insurer applies its own adjustment to it and charges the result per $100 of payroll. That’s why the cheapest choice for a roofer is often not the cheapest for a pediatric office. Of the 408 business types we analyzed, ERGO NEXT is cheapest for 284, including construction trades, transportation businesses, cleaning services and most restaurants. The Hartford is cheapest for 102, mostly medical practices, shops and office-based firms such as consultants and real estate agencies. The section below shows the cheapest insurers in six major North Carolina industries.

How to Get the Best Workers’ Comp Insurance in North Carolina

North Carolina’s rules on who needs coverage, who picks the doctor and how rates are set all affect which policy works best. These steps walk you through getting coverage at a fair price.

Best Workers’ Compensation Insurance in North Carolina: Bottom Line

ERGO NEXT is the best workers’ comp insurer for most North Carolina small businesses. It pairs the lowest statewide rate with the highest-rated customer service, and it’s the clear price leader for contractors, drivers and cleaning companies. The Hartford fits medical practices, many retail stores and any business where an injury could mean months of treatment, since North Carolina lets the insurer choose the doctor and The Hartford brings a large provider network. biBERK suits owners who want to buy direct and need a certificate the moment they pay. Whichever insurer you lean toward, get quotes from at least three using the same payroll and classifications before you buy.

Best Workers' Comp Insurance in North Carolina Chart
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WANT TO LEARN MORE ABOUT OTHER BUSINESS INSURANCE TYPES?

Workers’ comp covers your employees’ injuries, but it won’t pay if a customer gets hurt at your business, a client sues over your work or a company vehicle causes a crash. These North Carolina guides cover the other policies most small businesses carry:

North Carolina Workers' Compensation Insurance FAQs

How We Determined the Best and Cheapest Workers’ Comp Insurers in North Carolina

MoneyGeek compared estimated workers’ comp rates from seven insurers that sell to North Carolina small businesses: biBERK, Chubb, ERGO NEXT, Hiscox, Nationwide, The Hartford and Thimble. Our analysis spans 408 business types in 25 industry categories, and all rates on this page are monthly estimates per employee.

MoneyGeek scores: We rate each insurer out of five in three categories and combine them into a weighted overall score.

  • Affordability (55%): We use average payroll for the most common job classification in each industry, priced per employee.
  • Customer experience (35%): This category has three parts.
    • Buying (20%) covers quote access, pricing accuracy and sales support.
    • Policy management (30%) covers payroll reporting, audits, billing and loss control.
    • Claims (50%) covers how quickly claims are reported and handled, adjuster support, medical access, wage replacement and dispute handling.
  • Coverage options (10%): This category weighs coverage completeness (35%), policy flexibility and endorsements (25%), eligibility across industries (20%), and policy terms, limits and exclusions (20%).

Averages and savings: North Carolina’s $86 monthly average per employee is the simple mean of the seven insurers’ statewide rates. Each industry average is the mean of their rates for that industry, and each business-type average is the mean of the insurers with a rate for that type. Savings figures compare an insurer’s rate with the average for the same group, so statewide rates are measured against the state average, industry rates against the industry average and business-type rates against the business-type average. Rates by business size are averaged across all industry categories. Dollar amounts and percentages are rounded to whole numbers, and when rounding makes two rates look the same, we show the difference in cents.

Featured industries and tables: We chose the six industries in the cheapest section from the sectors with the most small employers in the SBA’s 2025 North Carolina small business profile, adding transportation because workers’ comp is one of its largest costs. Each table lists up to 15 common business types, or every type when a category has 15 or fewer. Business-type rates cover six of the seven insurers, because Chubb doesn’t have rates at that level.

Coverage and requirements: Coverage details, such as claims support, waivers of subrogation, certificates and pay-as-you-go billing, come from each insurer’s published materials. North Carolina requirements come from the North Carolina Industrial Commission, the North Carolina Rate Bureau, the North Carolina General Statutes and the other state sources linked throughout this page.

These figures are estimates, not personalized quotes. Your premium depends on your classifications, payroll, claims history, experience modification and the insurer you choose. MoneyGeek partners with some of the insurers on this page through our matching tool, but those partners have no say in our rankings or recommendations. See our advertising disclosure and full business insurance methodology for more details.

About Angelique Palenzuela-Cruz


Angelique Palenzuela-Cruz, Business Insurance Writer, MoneyGeek

Angelique Palenzuela-Cruz is a Business Insurance Content Writer at MoneyGeek, where she specializes in general liability, workers’ compensation and professional liability insurance. Her work helps small business owners understand how these policies apply to coverage, including risks like customer injuries, employee injuries, professional mistakes, client contract terms and industry-specific coverage requirements.
She primarily covers service-based businesses where liability and employee coverage decisions are especially important, including cleaning, consulting, beauty and wellness, childcare, education, fitness, food service, pet care, repair and maintenance, and other professional services.
Before joining MoneyGeek, Angelique spent nearly 12 years at Guthrie-Jensen Consultants, one of Southeast Asia’s largest management training firms, where she advanced from Training Consultant to Managing Consultant. In that role, she worked with business clients to assess operational needs, develop training programs and present performance analyses to executive decision-makers. She also helped establish Gladwin Training Consultancy, where she served in learning solutions and client service roles.
Her background gives her practical context for writing about how businesses operate, manage client expectations, structure teams and make risk decisions. At MoneyGeek, she applies that experience to business insurance content, connecting coverage to actual business needs.

LinkedIn: linkedin.com/in/ma-angela-cruz

Email Contact: angelique.palenzuela@moneygeek.com


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