West Virginia workers' compensation insurance: Your ultimate resource

Understanding West Virginia workers' compensation insurance

Nestled in the heart of the Appalachian region, West Virginia holds a heritage and allure that are one-of-a-kind. With a rich history in coal mining and a picturesque landscape, the Mountain State offers a captivating fusion of rugged tradition and natural splendor. 

West Virginia has a diverse economy, allowing businesses of all types to prosper. When it comes to protecting your business and its 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 medical and financial protection for employees who suffer work-related injuries or illnesses.

Without workers’ compensation, the cost of an injured employee’s medical treatment could become the responsibility of your business.

West Virginia workers' compensation rules

The West Virginia Offices of the Insurance Commissioner is responsible for administering the workers’ comp law in West Virginia. 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 West Virginia Offices of the Insurance Commissioner can approve self-insured requests based on financial status.

Employees can verify online if their employer has coverage.

Coverage and benefits

Who is covered?

Policies include protection for full and part-time workers.

Some exemptions from workers’ comp in West Virginia include:

  • Domestic workers
  • Businesses with less than five full-time agricultural employees
  • Casual employees
  • Church organizations
  • Voluntary rescue squads or police auxiliary units

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 developed over time due to job conditions. 

Benefits provided

West Virginia workers’ comp insurance provides three types of benefits for work injuries:

  • Medical benefits
  • Lost wages 
  • Death benefits

These benefits include:

  • Medical treatment for work-related accidents, injuries and/or illnesses 
  • Temporary disability benefits 
  • Permanent disability benefits
  • Death benefits

West Virginia workers’ compensation rates

The weekly compensation rate is two-thirds of the employee’s average weekly wage, not to exceed 100% of the average weekly wage in West Virginia.

Find more information on West Virginia’s workers’ compensation rates.

West Virginia 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 West Virginia should report their injury to their employer as soon as possible. 

Step 2: Seek medical care

The employee should immediately seek medical attention. 

Step 3: Employer reports injury

Once notified of the injury, employers should file a report of the accident within five days to their workers' compensation insurance carrier.

Step 4: Receive benefits

If an employer’s insurance provider accepts the claim, the worker should begin receiving benefits to cover medical expenses and lost wages. 

Step 5: Return to work safely or receive permanent disability benefits

Following their recovery, a worker is expected to resume work safely. In cases where the worker cannot fully recover to the extent that they can perform their job duties, they’ll be eligible to receive permanent disability payments.


Choosing a healthcare provider 

If the employer does not provide a managed health care plan, the injured worker can choose from West Virginia's Offices of the Insurance Commissioner's managed care providers.  


Compensation for missed work

If an employee is out of work:

  • Less than three days: They are not eligible for temporary disability payments. 
  • More than three but less than seven days: They are eligible for lost time benefits beginning on the fourth day. 
  • More than seven days: They are eligible for benefits retroactive to the first day they stopped work.   

Resolving disputes

To resolve a workers’ compensation claim dispute, an employer or employee can file a protest with the Workers’ Compensation Board of Review.

How to get workers' compensation

Insurance requirements for employers

Employers in West Virginia 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
West Virginia
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 West Virginia?

Employers who fail to maintain workers' compensation insurance are guilty of a felony and, upon conviction, will be fined no less than $2,500 and no more than $10,000.

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

In most cases, employees in West Virginia 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 West Virginia. 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 verify online if their employer has coverage.

Expert assistance and resources