No. Texas employers have three choices:

Opt-in to Workers’ Compensation – Traditional, statutory government-run workers’ compensation system

Opt-in to QCARE – A responsible Texas injury benefit program that delivers better medical outcomes, improved benefits and cost savings, and meets 10 essential standards to earn the QCARE designation.

Opt-Out – May not meet industry standards for the QCARE designation and may not provide any occupational injury benefits.