Skilled Nursing Facility Insurance — Ohio Owner's Guide

What makes SNF insurance unique

Skilled nursing facilities face risks that home health agencies don't:

• 24/7 resident care with high vulnerability (dementia, mobility-limited) • Real property to protect (the building itself, kitchen, mechanical systems) • Higher Professional Liability claim frequency and severity • Sexual abuse & molestation liability — required by most reinsurance markets • Residents' personal funds — Ohio skilled nursing bond requirement (ORC § 3721.15)

The insurance program is 4–6 lines of coverage, not 2–3.

Required & recommended coverages

**Required by ODH and lenders:**

• Professional Liability — typically $1M/$3M minimum, but $2M/$5M common • General Liability — $1M/$2M aggregate • Skilled Nursing Bond — ORC § 3721.15 amount • Workers Compensation — Ohio BWC • Property + Business Interruption — required by mortgage lender

**Recommended:**

• Sexual Abuse & Molestation Liability — often a sublimit within PL • Employee Dishonesty Bond — separate from skilled nursing bond • Cyber Liability — HIPAA + EHR systems • Crime / Money & Securities • Umbrella — $5M+ for larger facilities

Typical premium ranges

For an Ohio 50-bed skilled nursing facility:

• Property + BI on $5M building: $12,000–$25,000/year • Professional Liability ($1M/$3M): $25,000–$60,000/year (highly variable) • General Liability ($1M/$2M): $4,000–$8,000/year • Workers Comp (Ohio BWC): 4%–8% of payroll for class 8829 • Skilled Nursing Bond: $200–$600/year • Dishonesty Bond + Cyber: $1,500–$3,500/year combined

Full program for a typical 50-bed Ohio SNF: roughly $80,000–$160,000/year, payroll-dependent.

Where Noah Insurance Agency LLC fits

We write Ohio skilled nursing facilities from Columbus, Cleveland, Cincinnati, and statewide. We know the LTC-specialist carriers (CNA, Beazley, Markel, Liberty Mutual LTC) and we file Ohio BWC group rating applications to lower your workers comp by up to 53%. Same-day quotes on bonds and dishonesty coverage; PL/property typically 5–10 business days due to underwriting depth. Call 814-718-0060.