The article deals with the attitudes of employees health insurance companies to alternatives of development as regards funding of the Czech health services. The present state is evaluated and the further possible development of the system is outlined. The Union of Health Insurances defined priorities which it will enforce in legislative regulations and practice. The main point is that the citizen should be the determining element in the development of the whole system of public health insurance to reinforce his motivation for interest in his own health and its protection. Further more it involves: - maintenance of the plurality system of health insurance incl. the possibility of commercial additional insurance within their framework of health insurance companies, - equal rights for all health insurance companies on the basis of a single law and safeguarding of the development of the present system by gradual steps limited in time and tested experimentally. Preserve the existing role of the state and resolve the causes which threaten the levelled economic balance, in particular as regards incomes.

        Key words: public health insurance in the CR - citizen-insurance - network of health providers - state and its role - health insurance companies - employers - effective collection of premiums - operational costs of health insurance companies