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New York IPMI Roundtable: Weight of the world

by Owain Thomas
15 October 2025
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Life in the North American international private medical insurance (IPMI) market is rarely dull at the best of times, but the last year has seen a major shake-up.

The arrival of a new political administration into the USA in the last 12 months and its major policy shifts have seen a great upheaval in the region’s global mobility sector with the fallout still being felt.

At present the geopolitical and resulting economic situation is dominating conversations for those in the global health insurance market as individuals and organisations alike come to terms with the new reality.

Another remarkable request from this discussion was for more insurers to invest in this market as advisers highlighted their concerns about competition in the sector.

With two big name insurers taking a major step-back from IPMI in the last three years, intermediaries are now feeling the effects of a domination by just a couple of players.

Health & Protection’s second visit to New York was always likely to prove significantly different to our first three years ago when the sector was establishing its post-Covid recovery.

However, our roundtable in association with Flywire at Rockefeller Plaza in the heart of Manhattan illustrated the scale of transformation has been more extraordinary than could be expected, once again proving the concept that there is nothing as constant as change itself.

 

Download the roundtable supplement by clicking the front page below or by following this link.

 

 

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