When it comes to providing medical insurance to employees, it is not always compulsory. Different countries and laws have different regulations regarding the manner in which employees should be provided with health coverage, and it is important to consider the laws of the workplace when considering employee benefits.
In America, it is not mandatory for employers to provide medical insurance. Employers can choose to offer medical insurance as a benefit, either paid for entirely, partially, or not at all. The Affordable Care Act does, however, require employers to provide certain types of health coverage and to notify employees of their option to purchase coverage on their own, if the employer doesn't provide. Depending on the size of the employer and the state, these laws can differ regarding the number of employees that constitute a large employer and what health coverage should be provided.
In other countries such as Canada, employers are not mandated to provide coverage. However, in some provinces, employers may be required to pay into plan premium by making contributions to Employment Insurance or by providing alternate coverage plans. Each province has different laws and regulations, so it is important to research the state laws when considering employee benefits.
Overall, providing medical benefits to employees is not a requirement in any country, but employers can choose to provide certain packages based on the laws and regulations of the government.
If you have further questions about the legal requirements around providing medical insurance to employees, I would suggest consulting with a lawyer in your country. You can also check out websites like The Balance for information about medical insurance in your area.