Department of Labor Logo United States Department of Labor
Dot gov

The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

March 1994

The development and growth of employer-provided health insurance

Laura Scofea

Various BLS surveys track the development of health insurance plans provided by employers-from the first plan covering only hospital services in 1798 to the emergence of managed-care plans today. This article tracks the development and growth of employer-provided health insurance, from its beginning as sickness insurance to its current form.

Download PDF »