Studies of the demand for health insurance by elderly persons often in
adequately address the distinctions between those who receive insuranc
e through a former employer and those who purchase insurance on their
own. The failure to distinguish these two modes of supplementing Medic
are can lead to an inability to identify the effects of important inde
pendent variables. Using data from the Survey of Income and Program Pa
rticipation this paper examines the demand for employer provided healt
h insurance among retired pensioners using a bivariate probit model wi
th partial observability and compares these results to other models of
insurance demand among elderly persons. The results indicate that uno
bserved factors reducing the probability of being offered employer pro
vided insurance are associated with increased acceptance. A comparison
of the employer provided results with results from other models of th
e demand for privately purchased insurance indicates that different in
dependent variables may determine the probability of having these type
s of insurance. Previous studies of insurance that have not distinguis
hed between these two types of insurance may not provide reliable esti
mates of the relationship between independent variables and the probab
ility of insurance coverage.