When Jason’s cleaning company was sued after a worker slipped on a freshly mopped floor and fractured her hip, his $1 million general liability policy declined the claim in two sentences: “This policy does not cover bodily injury to employees or workers of the insured. See Exclusion E.”
The worker had been on his roster for three years. She worked five days a week, used his equipment, wore his company shirts, and had no other clients. Jason had never thought of her as an employee. His insurer didn’t care what he thought. His state’s workers’ compensation board would later think otherwise.
The final tally: $38,000 in medical expenses paid out of pocket, a $22,000 lost-wages settlement, a $4,200 regulatory fine for operating without required workers’ compensation coverage, and an audit that required back premiums for six of his seven workers going back two years.
The Coverage That Only Protects Strangers
General liability insurance is third-party coverage. Its purpose is to protect your business from claims made by people who are not employed by you: customers injured on your premises, clients whose property your work damages, and bystanders affected by your operations. The classic examples are a customer slipping in your store, a contractor damaging a client’s hardwood floors, or a passerby being hit by falling materials at a job site.
The exclusion for worker injuries is not a technicality buried in the fine print. Every standard general liability policy issued on an ISO form contains what is commonly called the employer’s liability exclusion, often listed as Exclusion E. It removes coverage for bodily injury to any employee of the insured arising out of the course of employment. The policy was never designed to cover worker injuries. Workers’ compensation was.
Most business owners with a GL policy have never read the exclusions section. The coverage feels comprehensive because the word “liability” sounds broad. It isn’t. The breadth of a GL policy stops exactly at the property line between the people who work for you and the people who don’t.
Why the 1099 Doesn’t Solve the Problem
The most common reason small business owners end up without workers’ compensation is the belief that classifying workers as independent contractors eliminates the obligation. It doesn’t, and the reason matters.
Workers’ compensation is required in every state except Texas. The coverage threshold varies by state, but in most states, any employer with at least one employee must carry it. More importantly, each state uses its own test to determine whether a specific worker qualifies as an employee for workers’ comp purposes, and that classification does not depend on tax forms. If your workers follow a schedule you set, use equipment you provide, and work primarily for you rather than for multiple clients, most state workers’ comp boards will classify them as employees. The 1099 is irrelevant. The W-2 is irrelevant. The working relationship is what matters.
Jason’s workers had been issued 1099s for three years. His state’s audit determined that six of his seven workers met the definition of statutory employee under the applicable workers’ comp test. The back premiums alone exceeded $9,000 before the fine, and the medical settlement was added.
What Workers’ Compensation Actually Does
Workers’ compensation does several things that general liability cannot. It pays the injured worker’s medical expenses directly, covers lost wages during recovery, funds vocational rehabilitation if the worker cannot return to the same position, and pays death benefits to dependents in fatal cases. In exchange for those guaranteed benefits, most states grant employers exclusive remedy protection: an employee covered by workers’ comp generally cannot sue the employer in civil court for additional damages.
That last part is the protection that disappears without coverage. Without workers’ comp, you don’t just owe the medical bills. You face a personal lawsuit with no policy limit, no deductible structure, and no insurer defending you. Business assets, personal assets, and future earnings are all exposed. A workers’ comp policy for most service businesses costs between $1,000 and $5,000 per year, depending on payroll and industry classification. The lawsuit it prevents can cost ten times that in a single incident.
What Happened After the Settlement
Jason’s story doesn’t end with the fine and the settlements. His GL insurer non-renewed his policy at the next renewal cycle, citing the uninsured workers’ comp exposure as a material coverage gap discovered during claims review. Finding replacement commercial coverage took four months and cost 40% more than his previous premium. The absence of a $2,800-a-year workers’ comp policy ultimately cost him more than $65,000 and a year of insurance problems.
For a broader look at the coverage types a service business typically needs, see Different Types of Business Insurance Explained. If you have employees or regular workers, also review What Does Workers’ Compensation Insurance Cover.
Questions to Ask Your Broker Before Your Next Renewal
- Does my state require workers’ compensation for businesses my size, and does that test include workers I classify as 1099?
- Have any of my current workers been working primarily or exclusively for me on a regular schedule, using my equipment?
- Does my GL policy contain an employer’s liability exclusion, and does it cover worker injuries under any circumstances?
- If my state audited my business today, would my worker classifications hold up under the applicable workers’ comp test?
- What would a workers’ comp policy cost for my current payroll, and how does that compare to my out-of-pocket exposure in a single serious incident?
The gap Jason discovered was never hidden from him. It was in the policy he paid for every year. He just never read the exclusions section.
This article provides general information about insurance coverage concepts. Requirements vary significantly by state and business type. Consult a licensed insurance broker to evaluate your specific situation.
Does your business have the right coverage if a worker gets hurt?
Jason’s $38,000 medical bill came from a gap his $1 million GL policy was never designed to fill.
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