Nurse Registries Insurance

What is Nurse Registries Insurance?

Nurse registries insurance is a specialized type of business insurance designed to protect nurse registry agencies from common risks associated with their operations. These agencies act as intermediaries, connecting licensed nurses and caregivers with patients who need at-home care. Because they coordinate healthcare services without employing the medical staff directly, their insurance needs are unique.

Who Needs Nurse Registries Insurance?

Any business that operates as a nurse registry should consider this type of insurance. This includes agencies that refer nurses, home health aides, or other licensed caregivers to provide services in private homes, assisted living facilities, or other non-hospital settings. Even if your agency doesn’t employ caregivers directly, you may still face liability for their actions or other operational risks.

What It Typically Covers

Nurse registries insurance policies often include several types of coverage:

  • General Liability: Protects against third-party claims of bodily injury or property damage occurring during the course of business.
  • Professional Liability (Errors & Omissions): Covers claims related to professional mistakes or negligence by referred caregivers.
  • Non-Owned Auto Liability: Offers protection if a caregiver causes an accident while driving their own vehicle during a work assignment.
  • Cyber Liability: Helps cover costs related to data breaches or loss of sensitive patient information.
  • Workers' Compensation (if applicable): Required in some states if the nurse registry is considered the employer of record.

Common Exclusions and Limitations

Like all insurance policies, nurse registries insurance has exclusions. Common limitations may include:

  • Intentional misconduct or criminal acts
  • Unlicensed or uncertified caregivers
  • Services provided outside the agreed scope of responsibility
  • Employment-related claims, unless covered under separate employment practices liability insurance

Factors That Influence Cost

Several factors affect the cost of nurse registries insurance, such as:

  • Size of the agency and number of caregivers referred
  • Types of services offered (basic care vs. skilled nursing)
  • Annual revenue
  • Claims history
  • Coverage limits and deductibles selected

Proof of Insurance and Compliance

Many states require nurse registries to carry certain types of insurance to operate legally. Additionally, hospitals, facilities, and private clients may ask for a certificate of insurance as proof of coverage before working with your agency. Requirements vary, so it’s important to understand local regulations and consult with a licensed insurance expert when needed.

How to Get a Quote

Getting coverage is simple. To explore your options and receive a customized quote, visit our quote page.

Frequently Asked Questions

Do nurse registries need insurance if they don’t employ caregivers directly?

Yes. Even if your agency doesn’t employ caregivers, you can still be held liable for their actions or face risks related to client interactions and data handling.

What’s the difference between a nurse registry and a home health agency for insurance purposes?

Nurse registries typically refer caregivers rather than employing them directly, while home health agencies often provide care through their own staff. As a result, insurance needs may differ.

Is professional liability insurance necessary for a nurse registry?

Yes. Professional liability insurance can help protect your agency against claims of negligence or errors in caregiver referrals or coordination.

Can I get coverage for data breaches or cyber incidents?

Yes. Cyber liability coverage can be included to help protect against data loss and privacy violations involving patient information.

Will I need different coverage if my agency expands into other states?

Possibly. Insurance requirements and regulations vary by state, so expanding may require policy updates or additional coverage.

Still have questions? Talk to a local insurance expert.

Partners, Programs & Market Access


We maintain relationships with nationally recognized and specialty-focused insurance providers that actively underwrite this class of business. Our network includes both admitted and non-admitted markets, allowing us to match risks—from straightforward accounts to more complex or hard-to-place exposures—with appropriate underwriting partners.


Program availability, coverage terms, and underwriting appetite can vary based on operations, location, and loss history, so access to multiple markets is key to securing the right fit. This approach helps ensure broader coverage options and more competitive placement across a range of risk profiles.



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