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iPMI Market Interviews

Interviews

iPMI Global Speaks with Chris Carter, CEO, ExpatInsure

The International Private Medical Insurance (IPMI) sector has long been defined by legacy giants, complex policy jargon and traditional corporate packages. As the modern expat demographic shifts towards digital nomads, independent professionals and micro-multinationals, the industry is being forced to rethink.  In this exclusive iPMI Global Interview, we sit down with Chris Carter, CEO of ExpatInsure, to discuss the company's growth, how it is using technology to strip the complexity out of buying cover, and why the model of the bloated...

18-06-2026 iPMI Global

Interviews

iPMI Global Speaks with Gitte Bach, CEO, New Frontier Group

iPMI Global, the leading business intelligence platform for the international private medical insurance (IPMI) and global assistance sectors, has officially released its latest executive round table report, titled "The Algorithmic Gatekeeper: AI and the Future of IPMI." Featuring crucial insights from New Frontier Group CEO Gitte Bach, “The Algorithmic Gatekeeper” maps the transition from manual administration to intelligent clinical navigation. A primary focal point of the round table is the critical necessity for "explainability" and human accountability as artificial intelligence begins to...

22-05-2026 iPMI Global

iPMI Market Providers

HX Global 2023 Risk Outlook: A Look at LGBTQ+ Travel Risk

The security environment for members of the LGBTQ+ community has generally improved in 2022. However, employees that identify as LGBTQ+ will continue to face unique challenges during international travel or long-term deployments.

Countries and territories around the world continue to approach legislation relating to LGBTQ+ activity differently. Positions range from full equal rights and protections against discrimination to the death penalty for same-sex relations. Discrimination against LGBTQ+ people creates severe challenges for talent mobility, retention, and development.

Same-sex marriage

There are currently 34 countries in which same-sex marriage is recognized. Discussions pertaining to the recognition of same-sex marriage are ongoing in the Czech Republic, Greece, Israel, India, Liechtenstein, Philippines, and Thailand.

Over the course of the past year, significant developments were seen across the world as same-sex marriages became legalized and/or recognized in Chile, Switzerland, Cuba, and Andorra. In October, Slovenia became the first post-Soviet republic to recognize same-sex marriages and adoption rights for same-sex couples. Tamaulipas became the last of Mexico’s states to authorize same sex-unions. Most recently, Tokyo’s metropolitan government began issuing partnership certificates to same-sex couples living in Japan’s capital, allowing them to be treated as married couples with respect to housing, health, and welfare.

Conversely, 32 countries and four jurisdictions worldwide passed constitutional amendments that explicitly prohibit the legal recognition of same-sex marriage and other forms of legal unions. Guatemala's Congress passed a law that explicitly banned same-sex marriage, while the Privy Council of the United Kingdom upheld the Caymanian and Bermudan constitutional bans on marriages between same-sex people. Singapore's Prime Minister announced plans to reform the constitution in order to prevent the legalization of same-sex marriage, which represents a de-facto ban.

Transgender legislation

Improvements in transgender legislation worldwide have also been reported, with further legislative developments expected in 2023. Countries including Finland, Denmark and Mexico have implemented legislation to guarantee the right to self-determination of gender without a requirement for surgery or sterilization.

However, controversial decisions regarding elite transgender athletes continue to be criticized by LGBTQ+ organisations. This includes the decision made by the Irish Rugby Football Union to ban transgender women from playing contact rugby and another made by the International Swimming Federation (Fina) to ban transgender women from female competitions. Instead, they suggested the creation of a specific category for transgender athletes.

Conversion therapy has been banned in numerous countries through 2021 and 2022, including Canada, Chile, India, France, Greece, and New Zealand. In the US, Wisconsin, Michigan, Minnesota, and Pennsylvania are the latest states to rule that federal and state funds cannot be allocated to conversion therapy. The ban on conversion therapy approved by the United Kingdom in May does not cover transgender people, a decision heavily criticized by LGBTQ+ associations. Countries in the process of discussing potential bans on conversion therapy include Ireland, Israel, Norway, Denmark, and Finland.

What can we expect in 2023?

In 2023, members of the LGBTQ+ community will continue to face unique challenges when it comes to international travel and long-term deployments. LGBTQ+ issues are expected to be a continued source of political polarization around the world. The increasing popularity of far-right political parties in Europe, including the recently-elected Brothers of Italy, the Swedish Democratic Party, and the Polish Law and Justice Party underscores the increasing use of homophobic narratives to score political points.

In the US, Republicans in Congress laid the groundwork for an anti-transgender law which would block funding to colleges that allow transgender women to participate in sports with cisgender women and sanction schools that disobey previously-issued state laws regarding sharing LGBTQ+ materials with minors. While it is unlikely the bills will become law this year since the Democrats narrowly control both chambers of Congress, they may be passed in early 2023 after Republicans regain control of Congress as a result of the November 2022 midterm elections.

Societal and cultural considerations towards LGBTQ+ issues are likely to remain unchanged in the short-to-medium term. Of the 68 countries that criminalize same-sex relations worldwide, 33 are in Africa. Some progress has been made in recent years, but several nations continue actively enforcing discriminatory laws. Discriminatory attitudes are likely to remain in 2023, with minimal changes to legislation expected.

Many developments can be expected in the Asia Pacific region, including the potential decriminalization of same-sex relations in Sri Lanka and the legalization of same-sex unions in Thailand and India. However, discriminatory policies are likely to remain in countries such as Afghanistan, China, Indonesia, Malaysia, and Pakistan.

The security environment in multiple eastern European, Middle Eastern and North African countries continues to be assessed as high or extreme for LGBTQ+ individuals.

Ensure your organization has appropriate risk mitigation measures for LGBTQ+ travel

It is important that organizations create and foster an open environment for all employees. If employees are comfortable disclosing their sexual orientation and gender identity, travel risk assessments should be customized accordingly and take into consideration the location and purpose of travel. These assessments should also consider the prevailing legal, cultural, logistical and security risks that members of the LGBTQ+ community are likely to face.

Many employees may not feel comfortable disclosing their sexual orientation. Therefore, it is critical that organizations have LGBTQ+ travel risk mitigation advice readily accessible to all members of the organization. This can include having LGBTQ+ travel resources available to everyone or offering access to a platform like Healix’s LGBTQ+ e-learning modules. This ensures that all members of your workforce can discreetly access information to keep themselves safe.

Issue country-specific guidelines. These guidelines may include items such as advising LGBTQ+ employees to hold business meetings at inconspicuous venues, indicating when large LGBTQ+ events may be staged and what precautions to take or suggesting ways that LGBTQ+ employees can reduce their profiles. Additionally, monitoring the Healix Sentinel Travel Oracle app can be useful for pre-empting potentially volatile protests.

Ensure that ample legal protections are in place, and that employees know how to access these services. As LGBTQ+ employees may face detention, deportation, assault, or imprisonment in some locations, it is advisable to ensure that employees have access to appropriate legal advice and support. Reach out to national embassies and consulates to understand the level of consular support that may be available in the event that it is required.

Travelers can reduce their risk profile by:

  • Maintain a low profile at all times - even in locations where society is considered tolerant to homosexuality
  • Remain vigilant and ignore provocations. Inform a relevant line manager or HR contact.
  • Avoid public displays of affection where possible
  • Ensure you exercise discretion when disclosing sexual orientation
  • Exercise caution using online LGBTQ+ social media platforms
  • Remain aware of the risks associated with LGBTQ+ venues

iPMI Global Network Directory

iPMI Global Launches July 2026 Global Provider Network Directory to Streamline B2B Sourcing and Glob…

14-07-2026 Network Directory iPMI Global

iPMI Global, the preeminent business intelligence resource for the international medical insurance sector, today announced the official release of the July 2026 edition of its Global Provider Network Directory. This directory serves as a mission-critical infrastructure tool for senior executives navigating the increasingly complex landscape of global B2B healthcare sourcing. Engineered to function as the definitive online B2B buyer’s guide, the directory eliminates the friction inherent in international partnership identification, providing a standardized, high-impact framework for insurers, hospitals, assistance companies, and third-party administrators (TPAs).

iPMI Global Unveils June 2026 Provider Network Directory: The Authoritative B2B Guide for Internatio…

19-06-2026 Network Directory iPMI Global

iPMI Global, the leading provider of business intelligence for the International Private Medical Insurance (iPMI) sector, today announced the launch of the June 2026 edition of its Global Provider Network Directory. Serving as the definitive online B2B buyer’s guide, this resource is engineered to streamline the identification of global partnerships for insurers, hospitals, assistance companies, and third-party administrators. In an industry where "right place, right time" care delivery is critical, iPMI Global provides a high-impact solution for industry payers looking to expand their service capabilities. The directory centralizes comprehensive company intelligence, offering a single, authoritative platform for executives to navigate the complex international healthcare ecosystem and secure seamless global reach. Discover the June 2026 iPMI Global Provider Network Directory—the definitive B2B buyer's guide for international healthcare sourcing, partnership identification, and market intelligence.

Welcome To iPMI Global

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

For the past 15 years 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 private medical insurance.

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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