Remote employees may require health insurance. This will depend on factors including their country of residence, nationality and level of earnings. In countries with a universal public health system, health insurance may not be required (although it might still be offered as a perk, e.g. in Canada). In countries without this kind of health system, health insurance is likely to be required in some form. Employers may be legally obligated to provide health insurance, or they may choose to do so in order to attract and retain a strong workforce.