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La généralisation de la complémentaire santé d’entreprise : une typologie des pratiques d’entreprise et de leurs liens avec les politiques salariales

Author

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  • Marion Bruna

    (CES - Centre d'économie de la Sorbonne - UP1 - Université Paris 1 Panthéon-Sorbonne - CNRS - Centre National de la Recherche Scientifique, IDESP - Institut Desbrest d'Epidémiologie et de Santé Publique - INSERM - Institut National de la Santé et de la Recherche Médicale - UM - Université de Montpellier)

Abstract

Cet article analyse empiriquement les stratégies des entreprises en matière de couverture santé lors de la mise en œuvre de la généralisation de la couverture santé d'entreprise en France. À partir d'un travail original fondé sur des données d'enquête et des données administratives, nous construisons une typologie des pratiques des entreprises. L'objectif est d'évaluer l'hétérogénéité des comportements face à une obligation uniforme et d'analyser les liens entre pratiques de couverture santé et politiques salariales Nous montrons que l'essentiel des entreprises a adopté des pratiques minimalistes limitées au minimum légal alors que d'autres, qui avaient déjà choisi la couverture d'entreprise, n'ont rien changé. Nous montrons également que l'on ne peut pas réduire à ces deux stratégies d'entreprise les effets de la généralisation de la couverture santé au moment de sa mise en place. Deux autres profils ont été mis en évidence : les pratiques différenciatrices entre salariés, plus généreuses mais inégalitaires et des pratiques mixtes visant une relative uniformisation au sein de la population des salariés.

Suggested Citation

  • Marion Bruna, 2026. "La généralisation de la complémentaire santé d’entreprise : une typologie des pratiques d’entreprise et de leurs liens avec les politiques salariales," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) hal-05563329, HAL.
    • Handle: RePEc:hal:cesptp:hal-05563329
    Note: View the original document on HAL open archive server: https://hal.science/hal-05563329v1
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    References listed on IDEAS

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    1. Bernard Gazier & Héloïse Petit, 2007. "French Labour Market Segmentation and French Labour Market Policies since the Seventies: Connecting Changes," Université Paris1 Panthéon-Sorbonne (Post-Print and Working Papers) halshs-00186361, HAL.
    2. Susan N. Houseman, 2001. "Why Employers Use Flexible Staffing Arrangements: Evidence from an Establishment Survey," ILR Review, Cornell University, ILR School, vol. 55(1), pages 149-170, October.
    3. Héloïse Petit, 2003. "Les déterminants de la mise en oeuvre d'un mode de gestion de l'emploi," Économie et Statistique, Programme National Persée, vol. 361(1), pages 53-70.
    4. Philippe Batifoulier, 2014. "Capital santé. Quand le patient devient client," Post-Print hal-01335674, HAL.
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