Which state takes a "monopolistic" approach to workers' compensation insurance?

Ohio adopts a "monopolistic" approach to workers' compensation insurance, which means that the state government controls the workers' compensation system and provides coverage for all employers within the state. In a monopolistic system, employers do not have the option to purchase workers' compensation insurance from private carriers; instead, they are required to obtain coverage exclusively through the state-run program.

In Ohio, this approach ensures a uniform set of benefits and a structured compensation process, which aims to offer solid protection for employees who are injured on the job while also managing the costs and implications for employers. The state sets the rates for coverage, and this regulation allows Ohio to maintain a consistent and controlled system for managing workers' compensation claims and benefits.

Other states, like California, New York, and Texas, operate under different models, where private insurers can offer workers' compensation policies, allowing for market competition and choice among employers. This is contrasting with the monopolistic model where such options are not available.