Intermediary confidence in the international private medical insurance (IPMI) market has continued to fall and dipped to levels below the aftermath of the Covid-19 pandemic, Health & Protection’s latest IPMI Report has found.
The research found advisers are becoming more concerned about the sector’s current and potential future performance while revenues are also being hit.
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A second successive year of slowing business income echoed the consecutive falls in confidence and may partly explain or be a symptom of why sentiment is trending down.
Almost half the 200 intermediary respondents said their IPMI business income was basically unchanged over the last year – this was up from 37% in 2025 and just 28% in 2024.
Premium inflation remains by far the biggest concern for intermediaries with more than two thirds highlighting it as a problem for the market.
As the Middle East conflict has dragged on and drawn more locations in, it is becoming increasingly disruptive and the region is seen as becoming a less attractive destination for globally mobile people and businesses.
Intermediaries remained largely content with support from providers over the last year but the general sentiment for this too slipped for a second consecutive year.
The full report includes all findings from the intermediary and provider research.
Download the IPMI Report by following this link or clicking on the front cover image below.
