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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

Total Fees And Commissions Earned From Insurance Broking Activity In 2022 Worth Over $150 Billion

  • Worldwide, total fees and commissions earned from insurance broking activity in 2022 were worth over USD 150 billion
  • 2 main factors have brought about consolidation in the competitive structure of the global market in 2022 relative to 2021
  • Close to a half of the world’s top 300 broking groups are headquartered in the US and over 80% of them are privately-owned

According to the latest rankings and analyses updated by Insuramore (see www.insuramore.com/rankings/brokers), the value of the worldwide market for insurance broking in terms of
fees and commissions earned was around USD 151.4 billion in 2022, up from around USD 137 billion in 2021, equivalent to a growth rate of almost 10.5% without adjusting for inflation, but closer to 2% as an inflation adjusted measure.

In 2022, this market is estimated to have broken down between around USD 68.8 billion due to commercial P&C (non-life) retail broking, USD 14.6 billion to private P&C (non-life) retail broking, USD 50 billion to employee benefits plus life and health insurance retail broking, USD 6.4 billion to reinsurance broking and USD 11.6 billion to wholesale broking. (Noting that these data points omit tied agency and MGA / MGU activity among other elements, please see the following two pages for precise definitions of these segments.) Each of the segments registered a double-digit growth rate during the year apart from employee benefits plus life and health insurance retail broking; indeed, without adjusting for inflation, the top 20 broking groups together achieved an even higher aggregate growth rate of 11.7% albeit this was driven in part by M&A activity.

In terms of the value of its total broking revenues worldwide, Marsh McLennan ranked first among broking groups in 2022 and it was followed in descending order by Aon, WTW, Gallagher and Acrisure.

Meanwhile, the leaders in each of the five broking segments were as follows:

  • commercial P&C insurance retail broking – Marsh McLennan;
    private P&C insurance retail broking – HUB;
    employee benefits activity plus retail broking of life and health cover – WTW;
    reinsurance broking – Aon;
    wholesale insurance broking – Amwins.

Overall, the top 20 groups are believed to have controlled 51.5% of total global broking fees and commissions in 2022 and the top 300 groups for 83.2%. Relative to the equivalent figures computed for 2021 (namely, a respective 50.7% and 79.4%), this shows that there has been some consolidation in the market structure; this is due both to M&A activity and to the strengthening of the US dollar against most global currencies during 2022, causing US-based groups to achieve a higher weighting within the worldwide ranking.

Indeed, among the top 300 groups, the US is the headquarters for 141 (47%) of them; following the US by this measure are France, the UK, Canada and India, the home countries for a respective 29, 27, 17 and 13 of the largest 300 groups, with the rest of the world accounting for the remaining 73 in the analysis. Furthermore, the vast majority (at 247, or 82.3%) are privately-owned involving one or a combination of family ownership,employee ownership or private equity.

Looking ahead, it will be apposite to see whether a continuing stream of M&A activity causes the worldwide market to consolidate further in 2023 or if the dynamic growth of some smaller and medium-sized competitors causes the share of the top 20 groups to hold at just over a half of global broking revenues.

 

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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