[1] Established on 27 December 1911, it operates under the Ministry of Economy and Finance, and is controlled by the Court of Accounts and the Central Bank.

[2] It is an Autonomous State Entity with commercial and social purposes, as a state-owned enterprise with high decentralization.

[4][5] The objective of the nationalization was that the profits from the market would remain in the country, since none of the insurance companies that operated in the territory were Uruguayan.

[6] In 1951, the Sanatorium of the State Insurance Bank was inaugurated, a public hospital center dependent on the entity, and dedicated to the direct attention to work-related accidents and illnesses.

16,426 insurances were demonopolized —except in the case of workplace accidents—, and a process of deregulation began in a market open to access by foreign companies.