On April 2, 2012, the N.C. Industrial Commission announced it would review the policies and procedures currently in place for injured workers to receive workers' compensation. Currently, North Carolina does not investigate whether employers buy workers' compensation insurance. Rather, the state only takes action once an employee is injured. The state also rarely enforces fines for non-compliant employers or arrests uninsured employers even though state law gives the Commission the power to do both.
This lack of enforcement poses a significant problem because recent investigations have revealed that thousands of employers in North Carolina do not buy workers' compensation insurance. Studies have indicated there are at least 170,000 businesses headquartered in North Carolina, but only 140,000 of those businesses are covered by workers' compensation insurance carriers. In other words, there is a large amount of employees left without workers' compensation coverage.