国际医疗保险：世界的重量

NEW YORK ROUNDTABLE October 2025healthcareandprotection.com INTERNATIONAL PRIVATEMEDICAL INSURANCE:WEIGHT OF THE WORLD 2SUPPLEMENT INTRODUCING OUR PANEL Manny Socorro,strategic director, Joe Cronin,president, Andrew Jernigan,CEO, Anders Blak,business development director, Gregg Manning,COO, Chris Nam,COO, Vera Mira,principal – expatriate benefits COE,Mercer Marsh Benefits A DIFFICULT BALANCING ACT Life in the North America international private medical insurance (IPMI) market is rarely dull at The arrival of a new political administration into the USA in the last 12 months and its majorpolicy shifts have seen a great upheaval in the region’s global mobility sector with the fallout At present the geopolitical and resulting economic situation is dominating conversationsfor those in the global health insurance market as individuals and organisations alike come to As a result, long-established movement patterns are being disrupted and even closed off However, for some of the most severely affected industries the scale and outright viabilityof their arrangements is coming into question. Another remarkable request from this discussion was for more insurers to invest in thismarket as advisers highlighted their concerns about competition in the sector. With two big name insurers taking a major step-back from the IPMI in the last three years,intermediaries are now feeling the effects of a domination by just a couple of players. While service and products are typically good from incumbents the relentless drive onpremiums is causing headaches. So there is a groundswell opinion that the market is ready for fresh entrants to make theirmark and show expertise from around the world. Health & Protection’s second visit to New York was always likely to prove significantlydifferent to our first three years ago when the sector was establishing its post-Covid However, our panel at Rockefeller Plaza in the heart of Manhattan illustrated the scale oftransformation has been more extraordinary than could be expected, once again proving the Owain Thomas, editor of Health & Protection CONTENTS 15WHAT MANY GLOBAL INSURERS MISS IN BESTSERVING GLOBAL WORKFORCESManaging uncertainty comes down to building 4POLITICAL AND ECONOMIC CHANGES CREATINGROLLERCOASTER IPMI MARKETUS international people movements are being driven by relationships that help your business remain agile, says geopolitical changes creating a market in great flux, Owain 8MORE INSURER ENTRANTS WANTED TO REVITALISEUS IPMI SECTORAdvisers are urging more insurers to enter the US market to boost competition, writes Owain Thomas 12COMMUNICATION, COMPLIANCE AND COMPASSION VITALFOR INDUSTRY IMPROVEMENTS Focusing on the three Cs of communication, compliance andcompassion can ensure the IPMI market develops the right 4SUPPLEMENT POLITICAL AND ECONOMICCHANGES CREATINGROLLERCOASTER IPMI MARKET US international people movements are being driven by geopolitical changes creating a market in eopolitical elements can have asignificant effect on globalmobility even during quiet activity is dominating people movements As a result those working in theinternational private medical insurance(IPMI) sector are seeing a highly volatile The industry leaders gathered for Health& Protection’s USA roundtable in New Yorkhighlighted the impact of this on their International Citizens Insurance presidentJoe Cronin explained the trends the “We see US citizens increasinglychoosing to move and to live outside of the “Then on the flip side is the negativeimpact of new policies and the challengesof getting visas for foreigners coming into “Right now, about 15% of our business isforeigners coming into the US and we were “That seems to have rebounded over thelast two or three months, but it’s definitelyimpactful and we’ll see what happens over Among the most notable falls in activity,Canada to the US is down by around 20%to 30% this year, Cronin estimates, The firm focuses its advice on individualsand a growing portfolio of small to medium “It was record numbers, more than wehad ever seen historically for a 48-hourperiod. That has levelled off and some arejust dreamers, but not all of them and it is It is this latter population that has showna particularly notable drop in activity. with. “One of the things we’re fearful of is morelocalisation of plans, being required to belicensed in those countries and people “I know for some international schoolstheir enrolment of first year internationalstudents is down 50% or more,” he MEXICO, PORTUGAL AND SPAIN “Our main base is US citizens, so we’retrying to be smarter about what we’requoting, what we’re offering from insurers,different plan makeups and down to But while those challenges can be trickyto face, it can often open-up opportunitiesin other areas, and the trigger for much of Gregg Manning, COO of InternationalCitizens Insurance agreed with thesetrends and highlighted Mexico, Portugaland most recently Spain