Cigna

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

Worldwide Market for Insurance Broking in Terms of Fees and Commissions Earned Was Around $180 Billion In 2024

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 180 billion in 2024, up from around USD 166.5 billion in 2023 on a constant currency basis, equivalent to a growth rate of around 8.1% without adjusting for inflation, but closer to 2.6% as an inflation-adjusted measure. Without adjusting for inflation, the top 15 broking groups together achieved an even higher aggregate growth rate of 10.7% albeit this was driven in part by M&A activity. Among these, Alliant and Howden were the groups that expanded their broking revenues most rapidly.

In 2024, the market is estimated to have broken down between around USD 83.3 billion due to commercial P&C (non-life) retail broking, USD 18.2 billion to private P&C (non-life) retail broking, USD 55.8 billion to employee benefits plus life and health insurance retail broking, USD 8.3 billion to reinsurance broking and USD 14.7 billion to wholesale broking. (Noting that these data points omit MGA / MGU and tied agency activity among other elements, please see the following two pages for precise definitions of these segments.) Revenues from reinsurance and wholesale broking grew most quickly during the year while those from employee benefits plus life and health insurance retail broking recorded the least growth.

In terms of the value of its total broking revenues worldwide, Marsh McLennan ranked first among broking groups in 2024, and it was followed in descending order by Aon, Gallagher, WTW 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 – Alliant;
  • employee benefits activity plus retail broking of life and health cover – WTW;
  • reinsurance broking – Aon;
  • wholesale insurance broking – Amwins.

Overall, the top 15 groups are believed to have controlled 48.7% of total global broking fees and commissions in 2024, up from 47.6% in 2023 and 45.8% in 2020. This shows that there has been some consolidation in the market structure which is mainly due to M&A activity. Looking ahead, it will be apposite to see whether further such activity causes the worldwide market to consolidate further in 2025; significantly, eight of the top 500 groups were in the process of being acquired during the first half of the year.

Among the top 500 groups in 2024, the US is the headquarters for 233 (46.6%) of them; following the US by this measure are the UK, France, Canada and Germany, the home countries for a respective 49, 35, 31 and 21 of the largest 500 groups, with the rest of the world accounting for the remaining 131 in the analysis. Furthermore, the vast majority (at 430, or 86.0%) are privately-owned, involving one or a combination of family ownership, employee ownership or private equity.

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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