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    Blue Cross and Blue Shield is committed to extending health insurance to those who do not have coverage, and The Blues® believe the best way to accomplish this goal is to build on our employer-based system. In 2009, more than 95 percent of American firms with more than 50 employees offered health insurance coverage to their employees. However, less than half of companies with fewer than 10 employees offer health benefits. Increasing the percentage of small employers that offer health benefits is critical to increasing coverage levels. Additionally, there must be a focus on those most likely to lack coverage, such as young adults aged 18-34, Hispanics, and African-Americans.