How much does home health care insurance cost in South Dakota? (2026)

Recent rate-filing activity — 2 state filings across 1 commercial line

Commercial carriers can't charge whatever they want — each state's Department of Insurance must approve loss-cost filings before they take effect. These are primary-source, government-held records available on SERFF Filing Access. Cited below: the most-recent active filings affecting home health care operations, each cited to the regulator or bureau filing it came from.

Source: SERFF Filing Access (filingaccess.serff.com) — the official public-records interface for state Department of Insurance filings. Loss-cost changes shown are the overall bureau-wide change in each state; the actual impact on your quote depends on your class code, payroll, experience modifier, and carrier-specific loss-cost multiplier (LCM). Get a quote for your exact numbers.

National context — Home Health Care insurance overview

A home care agency's biggest catastrophic exposure is one a generic business policy quietly excludes: abuse and molestation. Standard general liability carries an absolute abuse/molestation exclusion — if an allegation against a caregiver lands, the GL carrier denies the claim and refuses to defend. Dedicated abuse & molestation (SAM) coverage is the only thing that responds. Our own quote data shows these agencies most request general and professional liability (medical malpractice for care delivered in the home).

As an industry-typical estimate, a home-care agency runs roughly $2,000–$8,000+/year across general liability, professional/malpractice liability, abuse & molestation, hired & non-owned auto (aides drive their own cars to clients), and payroll-rated workers' compensation — the top physical exposure is caregiver injury lifting patients. No insurance bureau publishes home-care premiums, so every dollar here is an estimate; each coverage fact is sourced to a named authority (III, and a carrier coverage explainer). Use the calculator below, then get a real quote in 5 minutes.

Industry-typical market ranges (national)

Sourced from III, NCCI, ISO, NAIC, BLS, FMCSA, FDA, NRA — government and bureau publications, not from our quote form

Coverage lines a home health care agency typically carries (industry-typical estimates):

• Abuse & molestation (SAM): the trade-defining line — standard general liability excludes abuse/molestation and will not defend it, so SAM is the only coverage that responds to a caregiver allegation. Selective abuse & molestation coverage.
• Professional liability / medical malpractice: errors, omissions, or failure to meet the standard of care in the home — often required by state law or client contracts. III professional liability.
• General liability: third-party bodily injury and property damage in a client's home. III commercial general liability.
• Hired & non-owned auto: aides driving their own cars to clients create vicarious liability for the agency — added by endorsement. III commercial auto.
• Workers' compensation: caregiver injury from lifting/transferring patients is the top physical exposure — mandatory in nearly every state. III workers comp.

Caregiver headcount, services offered (skilled nursing vs. companionship), and driving exposure are primary rating factors.

For South Dakota-specific direction, see the filed-rate table above.

Get your actual South Dakota quote in 5 minutes

The data above is regulator-filed direction. Your actual South Dakota quote depends on class code, payroll, experience modifier, and the LCM each carrier files.

More South Dakota rate-filing detail

• All South Dakota commercial rate filings (every line, every recent filing) — the broader rate-data view for South Dakota
• Rate filings by state — directory of all 47+ states with active filings
• National Rate Change Tracker — every filing across every state, sortable

Get a real South Dakota quote for home health care

The data above shows the regulator-filed direction for South Dakota. For your actual quote — based on payroll, experience modifier, and the LCM each carrier files — request a free quote in under 90 seconds.

Related guides

• General Liability glossary entry
• Class Code glossary entry
• Our sourcing methodology

Sources cited (national context above)

1. Abuse and Molestation Coverage — Selective Insurance, 2024
2. Professional Liability Insurance — Insurance Information Institute (III), 2024
3. Commercial General Liability Insurance — Insurance Information Institute (III), 2024
4. Commercial Auto Insurance — Insurance Information Institute (III), 2024
5. Workers Compensation Insurance — Insurance Information Institute (III), 2024