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Who must carry workers' comp insurance in California

Every California employer other than the state must secure the payment of workers' compensation, and "employer" means anyone with one or more employees. You secure it by buying a policy from an insurer licensed in California or by obtaining a certificate of consent to self-insure from the Director of Industrial Relations. The duty attaches with the first employee; there is no small-employer exemption. Out-of-state employers owe it for work done in California, and a household that employs a domestic worker more than a small amount owes it too.

The rule

Every employer in California except the state must secure the payment of workers' compensation (Labor Code §3700). "Employer" has no size threshold: the duty attaches when you have one employee, full-time or part-time, permanent or temporary, documented or not. California workers' compensation is a no-fault system; in exchange for paying benefits for every work injury regardless of fault, the employer is protected from being sued for the injury (Labor Code §3600). An employer that does not secure coverage loses the protection and keeps the liability, which is what the penalties page is about.

Three ways to secure it

The Labor Code allows three (Labor Code §3700):

  1. Insurance from one or more insurers authorized to write workers' compensation in California. This is how almost every private employer complies. The State Compensation Insurance Fund is a state-created public enterprise fund (Insurance Code §11773) that is authorized to write workers' compensation on the same footing as private insurers and is regulated by the Insurance Commissioner in the same way (Insurance Code §11778); an employer may buy from State Fund or from any private insurer admitted in California.
  2. Self-insurance, under a certificate of consent to self-insure from the Director of Industrial Relations, alone or as part of a group of employers. The applicant must show the financial ability to pay the compensation that will come due. Self-insurance is for large employers and for groups of similar employers who pool their risk; it requires security deposits and a licensed administrator.
  3. Public self-insurance for counties, cities, districts and other public agencies, including joint powers pools, under a separate certificate.

An employer with a policy or a certificate has "secured" compensation. One whose policy has lapsed has not, however briefly; the lapsed coverage page covers that gap.

Who is an employee

An employee is any person in the service of an employer under any appointment or contract of hire or apprenticeship, express or implied, oral or written, whether lawfully or unlawfully employed (Labor Code §3351). The definition is deliberately broad, and it specifically includes:

  • non-citizens and minors, whatever their work authorization;
  • officers and directors of a private corporation while rendering actual service for pay, unless they qualify for an exclusion and sign a waiver;
  • working members of a partnership or LLC who receive wages, with the same waiver option for general partners and managing members;
  • household workers employed by a homeowner or occupant whose duties relate to the household, including child care, subject to the small-hours exclusion below;
  • since July 1, 2020, anyone who is an employee under the ABC test in Labor Code §2775.

The exclusions, in Labor Code §3352, are narrow and specific: unpaid volunteers for public agencies and nonprofits, certain amateur athletes and officials, deputy sheriffs serving without pay, a household worker employed fewer than 52 hours or paid $100 or less in the 90 days before the injury, and the officer, partner and professional-corporation owner exclusions that require a signed waiver. The exemptions page goes through each.

How the auditor finds the employee you did not count

Premium auditors work from the general ledger, not the payroll register. Cash disbursements, 1099 payments, "casual labor" and payments to unincorporated subcontractors without certificates of insurance are all pulled and tested against the employee definition. The audit is where an employer learns that the handyman paid by check every month, or the subcontractor whose policy had lapsed, is an employee for premium purposes and, if one of them had been hurt, for benefits. Keeping certificates of insurance for every subcontractor and treating every paid worker as an employee until you have a documented reason not to is how insured employers stay out of that conversation.

The ABC test

Since 2020 the question of who is an employee for workers' compensation is answered by the ABC test (Labor Code §2775(b)(1); Labor Code §3351(i)). A person who provides labor or services for pay is presumed to be an employee unless the hiring entity proves all three of the following: (A) the worker is free from the hiring entity's control and direction in performing the work, both under the contract and in fact; (B) the work is outside the usual course of the hiring entity's business; and (C) the worker is customarily engaged in an independently established trade, occupation or business of the same nature as the work performed. The burden is on the employer, and failing any one prong makes the worker an employee. Statutory exceptions for particular occupations and business-to-business relationships are in the sections that follow §2775 and send those cases to the older Borello multi-factor test. The independent contractors page covers the test and its exceptions in detail.

Out-of-state employers

An employee hired in California, or who regularly works in California, is covered by California law even for an injury that happens in another state (Labor Code §3600.5(a)). The reverse is narrower: an employee of an out-of-state employer who is only temporarily in California is exempt from the California coverage requirement only if the employer carries coverage under its home state's law that applies to the California work and that state extends the same courtesy to California employers (Labor Code §3600.5(b)). Regular work in California is not temporary, and an out-of-state policy responds here only if its insurer is admitted in California and the policy covers California operations. The practical rule is to confirm with the insurer, in writing, before the first employee starts.

Household employers

A homeowner who employs a nanny, caregiver, housekeeper or gardener directly is an employer of a household worker (Labor Code §3351(d)) and must secure coverage once the worker exceeds the §3352 threshold of 52 hours or $100 in the 90 days before an injury. Some homeowner's policies include this coverage; check yours before relying on it. Workers employed through an agency are usually the agency's employees. A family member employed by a parent, spouse or child in the household is excluded (Labor Code §3352(a)(1)).

What the policy does

A workers' compensation policy pays every benefit the Labor Code requires for a covered injury: medical treatment, temporary and permanent disability, the supplemental job displacement voucher and death benefits (Labor Code §3700; §3600). It also provides employer's liability coverage for the rare claim that falls outside the compensation system. What it costs is covered on the cost page; the notices you must post and hand to new hires, and the steps in the first week after an injury, are on the injured employee page.

Questions people ask

I have one part-time employee. Do I need a policy?

Yes. Labor Code §3700 applies to every employer, and §3351 defines an employee as anyone in the service of an employer under any appointment or contract of hire, written or oral, lawful or unlawful. Hours and pay do not matter, with the single exception of a household worker employed fewer than 52 hours and paid $100 or less in the 90 days before an injury.

My workers are all 1099 contractors. Am I exempt?

Only if they are independent contractors under the ABC test, which presumes a worker is an employee unless you prove all three conditions. Calling someone a contractor, or paying on a 1099, does not make them one. The independent contractors page explains the test and the exposure when a sub is uninsured.

My company is based in another state. Do I need California coverage for employees who work there?

Yes, for work regularly performed in California. An out-of-state policy may or may not extend to California; check whether California is listed as a covered state on your policy's information page and whether your insurer is authorized in California, because an unlisted state usually means no coverage here and the California penalties apply.

Does the owner have to be covered?

A sole proprietor with no employees is not an employee and needs no policy. Corporate officers, directors, general partners and LLC managing members who work in the business are employees unless they qualify for and sign an exclusion waiver; the exemptions page covers the thresholds.

Partner links

Get a quote

Pay-as-you-go carriers quote small California employers online in minutes; have your payroll by class and your FEIN ready.

  • Payroll for the last 12 months, by type of work
  • Federal employer identification number (FEIN)
  • Current policy and loss runs, if you have had coverage
  • Your WCIRB experience modification, if you have one

Sources

  1. Labor Code 3700: Employer duty to secure compensation, California Legislature via california.public.law (cites leginfo), current. Manifest S92.
  2. Labor Code 3351: Employee defined, California Legislature via california.public.law (cites leginfo), current. Manifest S87.
  3. Labor Code 3352: Excluded from employee, California Legislature via california.public.law (cites leginfo), current. Manifest S88.
  4. Labor Code 3600: Conditions of compensation liability, California Legislature via california.public.law (cites leginfo), current. Manifest S90.
  5. Labor Code 2775: ABC test (Dynamex/AB 5 codified), California Legislature via california.public.law (cites leginfo), current. Manifest S91.
  6. Labor Code 3700.5: Criminal penalty for failure to secure, California Legislature via california.public.law (cites leginfo), current. Manifest S93.
  7. DWC: FAQ about workers' compensation for employees, DIR / DWC, 2024-10. Manifest S08.
  8. Insurance Code 11773: State Compensation Insurance Fund organized as a public enterprise fund, California Legislature via california.public.law (cites leginfo), current. Manifest S174.
  9. Insurance Code 11778: State Compensation Insurance Fund may transact workers' compensation insurance; subject to the Commissioner, California Legislature via california.public.law (cites leginfo), current. Manifest S158.
  10. Labor Code 3600.5: Out-of-state injuries; employees of out-of-state employers temporarily in California, California Legislature via california.public.law (cites leginfo), current. Manifest S156.
Richard Vaughn
Richard Vaughn CPCU, ARM, AIS

Richard Vaughn spent 35 years in commercial property and casualty insurance, most of it in workers' compensation: running a self-insured group, auditing premiums, and implementing claims systems for carriers and third-party administrators. He is not an attorney. dickvaughn.com