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iPMI Market Interviews

Interviews

iPMI Global Speaks With Madhur Srivastava, CEO, DocHQ

In this exclusive iPMI Global interview, Christopher Knight, CEO, iPMI Global, met with Madhur Srivastava, CEO at DocHQ. They discussed in detail the DocHQ journey, to revolutionise the approach to employee benefits, insurance, and healthcare through the lens of technology.

28-11-2023 iPMI Global

Interviews

iPMI Global Speaks With Sheldon Kenton, Group Chief Executive Officer, Global Benefits Group

iPMI Global Speaks With Sheldon Kenton, Group Chief Executive Officer, Global Benefits Group

In this exclusive iPMI Magazine interview, Christopher Knight, CEO, iPMI Global, met with Sheldon Kenton, Group Chief Executive Officer, Global Benefits Group. They discussed in detail the future development of Global Benefits Group, recent acquisitions, and the role of Further Global in the brand.

04-10-2022 iPMI Global

International Private Medical Insurance

iPMI Insights

Black Friday with iPMI Global: Save on 2 Major Market Research Reports

International Health Insurance 2024: The Future of International Private Medical Insurance (iPMI) The 2024 iPMI report on the international private medical insurance (iPMI) market, authored by Ian Youngman. The report analyses iPMI market trends, including growth drivers like high-net-worth individuals and international students, and the impact of partnerships and technological advancements. It also profiles 177 countries, 85 insurance companies, and 49 brokers/MGAs. The report is available for purchase in full or modular formats, with discounts for advertisers and subscribers. Accompanying news...

29-11-2024 iPMI Global

iPMI Insights

Global Factors Contributing to Rising International Private Medical Insurance Premiums

In this iPMI Global Insights article, iPMI analyst Christopher Knight reads Pacific Prime’s new iPMI report, which explores the global factors that are contributing to the rising cost of international private medical insurance. The report analyses trends in individual and family International Private Medical Insurance (IPMI) premiums across 100 locations, highlighting key global and regional factors influencing these costs.

12-11-2024 iPMI Global

iPMI Insights

Analysing iPMI Premiums for Individual and Family Plans Across 100 Global Locations

Pacific Prime, a global health insurance brokerage and employee benefits specialist, has released its annual Cost of International Health Insurance (COHI) Report 2024, analyzing IPMI premiums for individual and family plans across 100 global locations.

12-11-2024 iPMI Global

Expatriate Healthcare Insurance News

Expat Employees in Middle East Call for Workplace Pension Schemes

A survey of 1,504 expatriate workers in Qatar, Saudi Arabia and the United Arab Emirates has highlighted contrasting views on workplace benefits. While 84% of those surveyed cited the benefits offered by their employer as playing a role in their decision to move to the Gulf, there is widespread dissatisfaction with the region’s End of Service Gratuity (EoSG) system. These one-off severance payments, a common practice in the Gulf Cooperation Council (GCC) region, are deemed insufficient for meeting retirement needs by 60%...

12-11-2024 iPMI Global

Country Guides

Everest Insurance International® Unveils New Health Insurance Partnership to Transform Employee Care in Singapore

Everest Insurance International has enhanced its growing Accident and Health (A&H) offerings with the launch of Innovator, an AI-driven international private medical insurance product that aims to redefine the standards of employee health coverage. The product is first available in Singapore and was developed in collaboration with DocDoc and AXA Life and Health Reinsurance Solutions.

10-11-2024 iPMI Global

Country Guides

Navigating the LATAM iPMI Market with Best Doctors Insurance

In the iPMI Global Regional article, we discover how Best Doctors Insurance can help expatriates, travellers and tourists navigate the healthcare systems in Latin America. We review the key themes and insights from an interview with Sheldon Kenton, CEO of Best Doctors Insurance, published by iPMI Global. The interview focuses on the company's position in the Latin American international private medical insurance (IPMI) market, highlighting its strategies, the challenges, and opportunities.

08-11-2024 iPMI Global

Revenues Earned Globally by MGAs, MGUs and Coverholders Grew by Around 19%

According to an updated ranking and analysis completed by Insuramore, the value of revenues earned worldwide by MGA, MGU and cover-holder groups (a.k.a. delegated underwriting authority / underwriting agency groups) was around USD 17.3 billion in 2022, signifying annual growth in this sector of around 19% before adjusting for inflation.

This is substantially ahead of the growth rate of world’s insurance broking sector which, as reported by Insuramore in a related press release on 6th June 2023, is believed to have advanced in value by almost 10.5% in 2022.

As a group, Brown & Brown was ranked first globally in this arena in 2022 having become the first group to generate more than USD 1 billion in annual revenues from this activity. It has since built on that position during 2023 through the announcement of its intended acquisition of Kentro Capital, parent company of Nexus Underwriting. In descending order, Brown & Brown is likely to have been followed from second to fifth by Truist Insurance Holdings, Amwins, Ryan Specialty Group and Gallagher, with these top five groups holding a combined market share of just under 20% of global MGA revenues.

By ownership, 54 of the top 300 groups in this space in 2022 are classifiable as broker-owned, 28 as insurerowned and the remaining 218 as independent (albeit many of these are backed by private equity firms). Among insurer-owned groups, Insuramore judges that Munich Re generated the highest revenues from proprietary MGA business in 2022 while NSM Insurance Group was the largest independent group. Furthermore, by location of headquarters, with 170 in total and benefiting from the strength of the US dollar against most other global currencies, the US played host to the most MGA groups in the top 300 in 2022 with the UK (49), the Netherlands (13), Canada (12) and Germany (10) coming next on this count.

As would be expected given the very high industry-wide growth rate, almost all MGA groups experienced an increase in their revenues in 2022 and 11 of the top 300 are believed likely by Insuramore to have more than doubled their income relative to 2021. The most rapid year-on-year growth is likely to have been achieved by Acrisure following its acquisition of both Appalachian Underwriters and Volante Global during 2022. Cyber insurance specialists such as Coalition, Envelop and Resilience also feature among the groups that more than doubled their revenues in 2022.

Worldwide, there are over 2,500 individual enterprises involved in MGA activity among which around a half are likely to have written premiums of more than USD 10 million in 2022 (www.insuramore.com/globalvista), and regular new launches appear to be sustaining this volume. Nevertheless, other significant acquisitions in this space that were in the process of being completed during the first half of 2023 included those of Envest by Ardonagh Group, BridgeForce by HUB, both Taga and Tay River Holdings by Gallagher, Acquis Insurance Management by NSM Insurance Group, Animal Friends by Pinnacle Pet Group, and Griffin Underwriting Services by Ryan Specialty Group. In addition, Amynta Group has concluded its acquisition of Ambridge from Fairfax Financial.

Definition of MGA / MGU / cover-holder revenues

MGA (managing general agency), MGU (managing general underwriter) and cover-holder revenues are defined as fees and commissions earned from underwriting / program administration (and related activities) by entities with the authority to underwrite or bind insurance (or reinsurance) risk in any class and that do this exclusively or mainly on behalf of unaffiliated carrier partners. Such entities that are insurer-owned and that are believed to place risks exclusively or mainly with parent or sister underwriters (i.e. affiliated entities) are excluded from the analysis. Revenues from wholesale or other broking / agency activities that do not meet this definition of MGA, MGU or cover-holder business are also not in scope. However, MGA, MGU and cover-holder groups that have set up their own underwriters remain in scope unless they can be said to place risks exclusively or mainly with those underwriters.

UnitedHealthcare Global
Cigna
Flywire

Welcome To iPMI Global

iPMI Global is the leading business intelligence provider for international private medical, health, travel and expatriate insurance markets worldwide. Due to the nomadic nature of the international private medical insurance (IPMI) market, iPMI Global is an internet based news service for worldwide insurance and medical assistance professionals who need to understand the impacts of insurance and healthcare policy, regulatory, and legislative developments.

Senior level business executives, in over 120 countries, rely on iPMI Global to stay 1 step ahead of the risk and on the inside track of international PMI.

Covering business travellers, high net worth individuals, expatriate and leisure travel markets, iPMI Global is the only international news source covering the most exciting sector of international health insurance: international private medical insurance.

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