When did health insurance become linked to employment?
Daniel Martin
Updated on June 07, 2026
Simply so, when did health insurance get tied to employment?
ABDELFATAH: So let's back up. In the 1940s, the government indirectly incentivized employers to start offering health insurance to workers. And the IRS made it tax-free, making it much cheaper for employers. But by the 1950s, after a decade of growth in the industry, the IRS was like, wait a minute.
Similarly, when did health insurance become a thing? In 1850, the first U.S. insurance firm was founded. It offered insurance against injuries received during an accident. Hospital and medical expense insurance wasn't introduced until the 1920s. Individual hospitals (and in 1929, employers) offered pre-paid plans to help cover the cost of medical expenses.
Similarly, why is health care linked to employment?
Job-linked health benefits first became widespread during World War II when American firms faced both a labor shortage and a wage freeze. Desperate to attract employees, the story goes, they started giving out benefits like health insurance instead of cash raises.
How did the rise of employer provided health insurance come about?
The rise of employer-sponsored coverage
Employer-sponsored health insurance plans dramatically expanded as a direct result of wage controls imposed by the federal government during World War II. The labor market was tight because of the increased demand for goods and decreased supply of workers during the war.