Massachusetts workers' compensation insurance: Your ultimate resource

Understanding Massachusetts workers' compensation insurance

Nestled in the heart of New England, Massachusetts is a landmark of American history. From the cobblestone streets of Boston’s historic districts to the serene shores of Cape Cod and Martha’s Vineyard, the Bay State is home to captivating landscapes and storied monuments. 

Renowned for its prestigious universities, groundbreaking research institutions and thriving arts scene, Massachusetts embodies a spirit of innovation and intellectual curiosity that offers various business opportunities. When it comes to protecting your business and employees, finding the right workers’ compensation insurance is essential. 

What is workers' compensation?

Workers’ compensation is a state-mandated insurance program for employers with one or more employees. It’s designed to provide employees who suffer work-related injuries or illnesses with medical treatment and indemnity benefits.

Workers’ compensation is required for employers, no matter the number of hours worked or the number of employees in Massachusetts.

Without workers’ compensation, the cost of a work-related injured or employee’s medical treatment could become the responsibility of your business.

Massachusetts workers' compensation laws and guidelines

The Department of Industrial Accidents under the Executive Office of Labor and Workforce Development administers the workers’ comp law in the state. The law requires employers with one or more employees to be covered by an active workers’ compensation insurance policy.    

Workers’ comp coverage can be obtained through a partner like EverPeak Insurance. The Office of Self Insurance can approve self-insured requests based on financial requirements.

Employees can use Massachusetts’ workers’ compensation verification tool to see if their employer has coverage.

Coverage and benefits

Who is covered?

Policies include protection for full and part-time employees.

Some exemptions from workers’ comp in Massachusetts may include, for example:

  • Domestic employees working less than 16 hours per week
  • Members of a limited liability company
  • Partners of a limited liability partnership 
  • Sole proprietors 

Covered injuries and illnesses

Workers' compensation covers a range of work-related injuries and illnesses, including physical injuries resulting from an accident and occupational diseases that may develop over time due to job conditions. 

Benefits provided

Massachusetts workers’ comp insurance provides four types of benefits for work injuries:

  • Medical benefits
  • Lost wages 
  • Permanent loss benefits
  • Death benefits

These benefits include:

  • Medical treatment for work-related accidents, injuries and/or illnesses 
  • Temporary incapacity benefits 
  • Partial incapacity benefits
  • Permanent incapacity benefits
  • Loss of function and disfigurement benefits
  • Benefits for burial expenses and surviving dependents

Massachusetts workers’ compensation rates

The weekly compensation rate in Massachusetts is 60% of the employee’s average weekly wage. This amount is not to exceed or fall below a maximum and minimum compensation rate set by the Massachusetts Division of Unemployment.

Find more information on Massachusetts workers’ compensation rates.

Massachusetts workers' compensation insurance process

Filing a workers' compensation claim

In the event of a work-related injury or illness: 

Step 1: Employee reports injury to employer 

Employees in Massachusetts should report their injury to their employer immediately. 

Step 2: Seek medical care

The employee should immediately seek medical attention. 

Step 3: Employer reports injury

An employee must be fully or partially disabled for five calendar days to report the injury to the Department of Industrial Accidents. The employer should file a report of the accident within seven calendar days of the fifth day of disability. 

If the employee is disabled less than five days, the employer should file a medical only claim to their workers’ compensation partner.

Step 4: Receive benefits

If the workers’ compensation claim is accepted, an injured employee may begin to receive workers’ compensation benefits, such as lost wages and medical benefits.

Step 5: Return to work

Following their recovery, a worker is expected to resume work safely. If a work injury has left an injured employee unable to do any type of work, the employee might be entitled to permanent disability benefits.

Choosing a healthcare provider 

In Massachusetts, the employer can choose a healthcare provider within their preferred provider arrangement with their workers’ compensation partner. After initial treatment, the injured worker can choose their healthcare provider. The employer’s workers' comp partner has the right to send the injured worker to see its doctor for evaluation periodically. 

Compensation for missed work

If an employee is off work:

  • Less than six days: They are not eligible for temporary incapacity payments. 
  • More than six but less than 21 days: They are eligible for lost time benefits beginning on the sixth day. 
  • More than 21 days: They are eligible for benefits retroactive to the first day they stopped work.   

Resolving disputes

If an employee or employer wishes to dispute a claim, they can use the Department of Industrial Accidents’ conciliation services. Conciliation is an informal meeting where a conciliator helps the parties reach a voluntary agreement. 

How to get workers' compensation

Insurance requirements for employers

Generally, employers in Massachusetts with one or more employees must carry workers' compensation insurance or qualify for self-insurance. Compliance with this requirement is essential to protect both the employer and employees.

Choosing the right insurance provider

When selecting a workers' compensation insurance provider, consider factors such as the provider's experience in the industry, financial stability, coverage options, claims process, customer service, and cost. 

We recommend requesting multiple quotes and comparing the offerings before making a decision.

Covering your business and employees with a trusted insurance partner — like EverPeak — brings peace of mind so you can focus on your bottom line.

Insurance regulations, laws, and available coverages can change. The information provided on this website is for general informational purposes only. Please consult the
Massachusetts
Departments of Insurance and/or Labor for the most up-to-date and detailed information.

Information updated as of January 1, 2024
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Frequently asked questions

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What are the penalties for non-compliance with workers' compensation laws in Massachusetts?

Employers who fail to provide workers’ compensation coverage will receive a stop work order from the Department of Industrial Accidents’ Office of Investigations. Minimum fines are $100 per day and continue until insurance coverage starts and the fine is paid.

Employers issued a stop work order may be subject to criminal charges, including up to one year in prison and a $1,500 fine upon conviction. Uninsured employers are also subject to debarment from public contracts for three years. 

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Can an employee sue their employer for a work-related injury or illness?

In most cases, employees in Massachusetts are barred from suing their employers for work-related injuries or illnesses. The workers' compensation system provides an exclusive remedy, meaning that employees typically cannot file a lawsuit against their employers. Instead, they must pursue a workers' compensation claim to receive benefits for their injuries or illnesses.

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Are independent contractors covered by workers' compensation insurance?

Generally, independent contractors aren’t covered by workers' compensation insurance in Massachusetts. Workers' compensation laws typically apply to employees rather than independent contractors. However, it's important to note that the classification of a worker as an independent contractor or an employee can be complex, and misclassification can lead to legal disputes. If unsure whether an independent contractor should be treated as an employee, seek legal guidance.

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How long do I have to report a work-related injury or illness?

Ideally, the incident should be reported immediately or within a few days of the occurrence. Prompt reporting helps ensure the necessary steps are taken to initiate the workers' compensation claims process.

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How do I verify an employer’s coverage?

Employees can use Massachusetts’ workers’ compensation verification tool to see if their employer has coverage.

Expert assistance and resources