The South African insurance giant, Metropolitan Life, established First Health Medical Administrator in Botswana in mid-September of 1996. It launched Metropolitan Life of Botswana in 1997 in a joint venture with the Botswana Development Corporation (BDC), and had a 25% stake in the company. In a similar move several years ago, BDC established Botswana Insurance Holdings (BIHL) in conjunction with St. Paul (USA) and African Life. St. Paul Fire and Marine of Minnesota bought out Botswana General Insurance in November 1997.