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International Private Medical Insurance Magazine (iPMIM) is the ultimate Health and Medical Insurance Digital Media serving expatriate, corporate, health and travel insurance markets. Due to the nomadic nature of the international healthcare industry iPMI Magazine is an internet based news service, for worldwide healthcare professionals, who need to understand the impacts of healthcare and insurance policy, regulatory, and legislative developments. Combined with in depth health insurance industry analysis, best-in-class health insurance industry data, and exclusive, C-Suite Executive health insurance interviews and round tables, iPMI Magazine bridges an information gap between healthcare payor, provider and patient. Written by the health and medical insurance industry, for the health and medical insurance industry, iPMIM is supported and designed by leading international medical insurance companies and service providers.

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AIA Agrees Exclusive Asia-Pacific Regional Partnership With Medix

Breakthrough regional partnership between AIA and Medix, a company specialising in quality global medical management, to provide improved healthcare and clinical outcomes for AIA customers.

AIA Group Limited (“AIA” or the “Company”: stock code: 1299) has announced that its customers across the Asia-Pacific region are set to benefit from a landmark partnership agreement with global health management company Medix. AIA and Medix are partnering to deliver a differentiated proposition that optimises care and improves medical outcomes for AIA customers across the region. Under the expanded regional partnership, building on already successful collaborations between AIA and Medix in Hong Kong and Singapore, AIA and Medix will work together to launch in more markets in 2019, including Indonesia, Malaysia, Thailand and Australia. Additional markets are planned for launch in 2020 and beyond.

Under the exclusive partnership with Medix, selected AIA customers will have access to “Personal Medical Case Management Services” during some of the most challenging times of their lives. When diagnosed with a serious or complex condition AIA customers will be supported by a dedicated case team throughout their medical journey, from diagnosis through treatment until full recovery. They will gain access to a holistic medical assessment, re-evaluation of their condition, referral for additional diagnostic testing – where needed, ongoing multi-disciplinary consultations, full care coordination, on-going guidance and emotional support provided by Medix’ team of renowned medical experts from around the globe.

Eligible AIA customers will have their medical case reviewed by Medix’ expert team of 300 in-house physicians and a global quality accredited network of over 3,000 world-leading and independent medical specialists, ensuring they have the tools to make educated, quality driven decisions and receive the best possible care throughout their medical journey, anywhere in the world.

Ng Keng Hooi, AIA’s Group Chief Executive and President, said the announcement underscores AIA’s commitment to meet the growing and changing needs of customers and to help people live Healthier, Longer, Better Lives.

“With the advances in medical treatments and technologies, the expectations of Asian consumers have changed significantly, with personalised, quality medical care at the top of their list. This strategic partnership with Medix exemplifies our leadership role in driving economic and social development across the region. It demonstrates our pledge to go beyond the traditional, passive insurance business model by becoming an integral part of our customers’ life journey” he said.

Mark Saunders, AIA’s Group Chief Strategy and Corporate Development Officer with responsibility for healthcare underlined AIA’s strategy and deliberate investment in helping improve the health and well-being of its customers, saying “AIA’s expanded partnership with Medix represents a significant step forward in delivering our long-term strategic vision in the health and well-being space, where we’ve invested significantly and consistently over the past several years. It builds on a highly successful partnership in Hong Kong and Singapore, where we’ve been able to provide Medix’ unparalleled medical case management services to our customers.

“To successfully deliver on our vision to help people be healthier for longer we are building an eco-system of services and partners to help people on all steps of the health journey through predict, prevent, diagnose, treat and recover stages, improving their overall wellbeing. Our exclusive partnership with Medix across our markets enhances AIA’s distinctive and differentiated proposition in health and well-being. By providing our policyholders with Personal Medical Case Management AIA helps overcome local healthcare disparities and makes international expertise, locally available through a mutually beneficial collaborative process” Saunders said.

Sigal Atzmon, CEO of Medix commended AIA’s visionary and innovative approach to driving meaningful improvements in people’s lives across the region.

“This is a partnership that will make a genuine difference; it represents a shared vision and a commitment to reduce unwarranted healthcare variations across the region, improve the medical accessibility, medical outcomes and most importantly, improve the overall care experience” Ms Atzmon said.

“Through this partnership, we provide personalised medical care, empower patients with the knowledge and tools they deserve to make educated decisions and offer active coverage in the daily lives of each policyholder. As such, we are enabling an unprecedented democratisation of the entire healthcare landscape.

“AIA, as one of the world’s largest and leading insurers should be applauded for the courageous, pioneering spirit they have shown over the last 100 years. Their vision and commitment to improving the lives of their customers/people across the region is unwavering and we are honoured to be a part of their next chapter,” Ms Atzmon concluded.

About AIA

AIA Group Limited and its subsidiaries (collectively “AIA” or the “Group”) comprise the largest independent publicly listed pan-Asian life insurance group. It has a presence in 18 markets in Asia-Pacific – wholly-owned branches and subsidiaries in Hong Kong, Thailand, Singapore, Malaysia, China, Korea, the Philippines, Australia, Indonesia, Taiwan, Vietnam, New Zealand, Macau, Brunei, Cambodia, a 97 per cent subsidiary in Sri Lanka, a 49 per cent joint venture in India and a representative office in Myanmar.

The business that is now AIA was first established in Shanghai a century ago in 1919. It is a market leader in the Asia-Pacific region (ex-Japan) based on life insurance premiums and holds leading positions across the majority of its markets. It had total assets of US$230 billion as of 31 December 2018.

AIA meets the long-term savings and protection needs of individuals by offering a range of products and services including life insurance, accident and health insurance and savings plans. The Group also provides employee benefits, credit life and pension services to corporate clients. Through an extensive network of agents, partners and employees across Asia-Pacific, AIA serves the holders of more than 33 million individual policies and over 16 million participating members of group insurance schemes.

AIA Group Limited is listed on the Main Board of The Stock Exchange of Hong Kong Limited under the stock code “1299” with American Depositary Receipts (Level 1) traded on the over-the-counter market (ticker symbol: “AAGIY”).

About Medix Medical Services 

Established in 2006, the Medix Group is a global, leading provider of innovative, high quality health management solutions. With offices in London, Hong Kong, Shanghai, Singapore, Tel Aviv, Jakarta, Kuala Lumpur, Bangkok and Melbourne and a client base exceeding 3 million members in over 90 countries, Medix offers its clients -- primarily global health & life insurers, financial groups, large corporates and government institutions -- significant value-added services in the world of healthcare. Medix’ medical team is comprised of 300 in-house doctors alongside nurses, research experts, medical administration teams and a quality accredited global network of over 3,000 specialists and 1,500 leading hospitals.

Through its various services, Medix offers its customers fast-track solutions to proven better medical outcomes. Medix provides Global Personal Case Management Services, Disease Prevention Management Services, Digital Health Solutions, Home Care Services, Health Strategy and Medical Governance Services to insurers, large corporates and government institutions.

Medix is a Shared Value company that strives to enable people around the world to have access to the best medical care possible while eliminating unwarranted healthcare variations and helping to control medical cost inflation. Believing that the accessibility, quality and sustainability of medical care are one of the most important components of social rights, Medix is very passionate about these issues and is globally fully dedicated to these activities.


Broadstone Group Enters IPMI Market With Acquisition Of Specialist IPMI and Employee Benefits Firm

Broadstone has announced the acquisition of 3HR Benefits Consultancy. This move represents Broadstone’s third acquisition in as many months following the recently announced purchases of Liverpool-based CS Financial Solutions and Thomson Dickson Consulting located in Glasgow.

Founded in 2008, London-based 3HR Benefits Consultancy is a subsidiary of 3HR plc and provides specialist employee benefits and international private medical insurance (IPMI) support and services to more than 200 Japanese, Korean and Chinese blue chip companies in respect of their UK and European expatriate employees. The company is the leading UK benefits consulting firm specialising in the Far Eastern market and dominates the sector with a number of Fortune 500 clients
Commenting on this latest acquisition, Broadstone Group CEO, Grant Stobart, said, “As part of our strategy to grow all areas of our business we must identify and then capitalise on emerging trends and opportunities. This is another outstanding acquisition for Broadstone and adds further scale in a buoyant   sector. 3HR Benefits Consultancy is one of the UK’s leading providers of specialist IPMI and employee benefits services to Far Eastern groups operating in the UK and Europe and the respect and authority they have built up in this sector is very impressive. Acquiring this niche business with its quality client base and experienced staff will provide clients with access to Broadstone’s wider service offering.
“2019 continues to be a year of targeted but vigorous expansion for Broadstone,” concluded Stobart.

Terence Bennett, CEO at 3HR plc, said, “Over the past few months we have been actively seeking ways of further developing our benefits consultancy and expatriate medical insurance business and have now found the ideal partner in Broadstone. This deal is an important step in the evolution of our business and will ensure that we can continue to further strengthen the service we offer our clients and the personal and professional development of all of our staff.”

Xavier Woodward, from Broadstone’s private equity parent, Livingbridge, commented, “This acquisition further strengthens Broadstone’s offering and provides access to a new client base. We are delighted to welcome 3HR Benefits Consulting on board as we continue to execute on a strong M&A pipeline.”

AnaCap Acquires Independent Danish Private Health Insurance Business

AnaCap Financial Partners announced the acquisition of a majority stake in SundhedsGruppen A/S which consists of Dansk Sundhedssikring A/S a leading independent Danish private health insurance provider, and PrimaCare A/S a quality provider of healthcare networks. 

AnaCap is acquiring the majority stake in SundhedsGruppen from the Company’s Founders, who will retain a minority.

SundhedsGruppen, provides health insurance and claims management services to clients’ employees and has built a market-leading technological infrastructure that also white labels to other providers in adjunct insurance areas.

The Company has a unique partnership arrangement with medical clinics throughout Denmark that allows for best-in-class provision of healthcare services to its customers’ employees, with a clear focus on specialist support and local availability. 

Tassilo Arnhold, Managing Director at AnaCap, comments, “AnaCap is delighted to be partnering with SundhedsGruppen. The Company has created a great insurance technology and data-driven platform with a uniquely differentiated insurer challenger proposition, high customer service standards and competitive underwriting. We are confident that our long-standing expertise in backing businesses poised for international growth will actively support this ambitious growth plan and management team, both through technological and operational investments.”

SundhedsGruppen’s proprietary technological platform facilitates accurate identification of optimal healthcare access as well as reporting, feedback and claims management respectively.  AnaCap will now look to leverage its deep insurance sector understanding and expertise in improving both technological and digital infrastructure to support enhancements in the customer experience as well as drive growth in new and existing markets.

The business currently provides insurance cover for approximately 250,000 individuals in Denmark, through a client list comprising several of the Nordics’ largest blue-chip companies, having grown from a founder-backed start-up in 2012. Driven by unique market positioning, the Company generated a c.70% CAGR in premiums during the period 2012-2018 vs. a 5% market norm.

AnaCap will also deploy its expertise in the insurance sector to support management’s ambition to grow market share internationally, into the Nordics and wider geographical markets, as well as through additional insurance market channels. The growth of the business will be through organic expansion models as well as identifying attractive bolt-on acquisition opportunities.

National Friendly Appoints New Head Of Risk & Compliance

National Friendly, the Bristol-based mutual society, has appointed Lisa de-Laune as the new Head of Risk & Compliance. With over 20 years’ industry experience, specialising in risk and assurance, Lisa will be responsible for shaping the vision and strategy of the risk and compliance function.

Prior to joining National Friendly, Lisa has led risk, internal control, internal audit and change functions across financial services, predominantly insurance and banking. As part of the Executive Team, Lisa will play a key role in reinforcing National Friendly’s commitment to fair customer outcomes and delivering effective risk management and compliance oversight.

Lisa commented, “It is an incredibly exciting time to be joining the National Friendly team, with new products being launched and new partnerships being created. It is clear that customers are at the heart of everything National Friendly does and to see the genuine passion for delivering the right product for its customers is inspiring.

“As the insurance industry as a whole faces new regulation and complexities, National Friendly has made a clear commitment to ensure a sound system of internal control is in place to manage and monitor risk and compliance. I look forward to working closely with the team and supporting National Friendly as it evolves and expands on current opportunities.”

Jonathan Long, Chief Executive Officer at National Friendly, said: “We are delighted to welcome Lisa to National Friendly, which demonstrates our continued commitment to delivering the best possible customer journeys and outcomes.

“National Friendly has plans to launch a number of innovative products over the next year, into both emerging and existing markets. Lisa’s extensive experience will play a key role in bringing these new products to market, ensuring that we are fully compliant with new regulations and meeting consumer needs.”

Collinson Continues Medical Assistance Expansion With Aspen Medical Partnership

Collinson has further enhanced its medical assistance capability through a partnership with Aspen Medical, an Australian-owned global healthcare leader providing remote medical solutions across a range of sectors.

Aspen Medical provides innovative and tailored healthcare services, from the provision of a single paramedic to a full spectrum solution involving a multi-disciplinary team of healthcare professionals. Further services include, ambulances, medical facilities, equipment, consumables, pharmacy products and aero-medical evacuation services (AME), including the company's own strategically-positioned clinics and aviation assets.

Often working in locations that are remote, challenging or under-resourced, its multi award-winning solutions provide clients with world-class healthcare services in any setting. The partnership will enable Collinson to extend its assistance reach and help customers to access quality medical services in locations where existing medical infrastructure is lacking. By augmenting Aspen Medical's ground-level capability with the wider Collinson global medical and evacuation network and its 24/7 always-on medical and security operations centres, the partnership will create a fully comprehensive assistance service for complex international deployments.

Aspen Medical's services also include managing environmental and public health projects, medical training and consultancy, providing occupational health and supporting major sporting events and conferences that need dedicated clinical support.

Scott Sunderman, Head of Assistance at Collinson, commented: "Aspen Medical is renowned for its high-profile contracts with defence, mining, oil and gas, government and humanitarian organisations. From running trauma hospitals in Mosul, Iraq, for the WHO or staffing and managing a UN facility for its personnel in Somalia, through to supporting the UK, US, Australian and New Zealand governments on the construction and management of Ebola Treatment facilities in Sierra Leone and Liberia, our partnership with Aspen Medical truly gives us a global healthcare reach and access to expertise unparalleled in the market.

"This experience will be vital as we broaden our global medical assistance and travel risk management services to ensure clients have the best possible protection, wherever they may be located."

This strategic alliance further enhances Collinson's new 24/7/365 integrated travel risk management solution in partnership with global risk and security consultancy, Drum Cussac, as well as the appointment of its new Global Medical Director, Simon Worrell.

Glenn Keys, Executive Chairman and co-founder of Aspen Medical, said: "Collinson is recognised globally for providing an exceptional medical assistance service. This partnership with Collinson further develops Aspen Medical's global capability with an integrated travel risk management solution. When combined with Drum Cussac's expertise, their global assistance App, security alerts, location tracking and monitoring, together we are delivering a very powerful new capability in the market for those seeking assistance in times of need."

Swiss Re First Quarter 2019 Net Income Reflects Excellent Life & Health Reinsurance Performance And A Very Strong Investment Result, Partly Offset By Large Losses

  • Group net income of USD 429 million in the first quarter 2019, reflecting excellent performance in Life & Health Reinsurance (L&H Re) and a very strong investment result, while large losses impacted property and casualty businesses
  • Property & Casualty Reinsurance (P&C Re) net income USD 13 million and return on equity (ROE) 0.6%, affected by large losses
  • Strong April P&C Re renewals supported by improved pricing, particularly in Japan
  • L&H Re posted record first-quarter net income of USD 328 million; ROE 19.6%
  • Corporate Solutions net loss of USD 55 million
  • Life Capital reported gross cash generation of USD 300 million
  • Very strong return on investments (ROI) of 4.5%; running yield at 2.9%
  • First tranche of the public share buy-back programme of up to CHF 1 billion purchase value to be launched on 6 May 2019

Swiss Re reported a net income of USD 429 million for the first quarter of 2019, reflecting excellent L&H Re performance and a very strong investment result, while large losses impacted the property and casualty businesses. Net premiums earned increased by 5.5% to USD 8.8 billion, reflecting growth across all Business Units. ROI increased to 4.5% from 2.2% in the first quarter of 2018. The Group ROE was 5.9%. Swiss Re is set to launch the first tranche of its public share buy-back programme of up to CHF 1 billion purchase value on 6 May 2019, highlighting the Group’s strong capital position and high financial flexibility.

Swiss Re’s Group Chief Executive Officer Christian Mumenthaler said: “While our property and casualty businesses were affected by significant large losses, Life & Health Re continued on its successful and steady path – a sign of the strength of our diversified business model. Another encouraging sign was the ongoing and accelerating improvement in the overall pricing environment for the property and casualty businesses, especially in loss affected markets. This continued positive momentum in renewals gives us confidence in our outlook.”

First-quarter net income reflected excellent L&H Re performance and a very strong investment result, impacted by claims from large losses

Swiss Re reported net income of USD 429 million for the first quarter of 2019, supported by the excellent performance delivered by L&H Re and a very strong investment result. Claims from large natural catastrophes and man-made losses included the North Queensland floods in Australia, Cyclone Idai in Mozambique, the Ethiopian Airlines crash and the subsequent grounding of the Boeing 737 MAX fleet. In addition, a significant amount of late claims from prior-year events, mainly from Typhoon Jebi, also adversely impacted the result for the quarter.

Swiss Re’s investment portfolio generated a very strong ROI of 4.5%, driven by significant market value gains from equity securities. This compares to an ROI of 2.2% for the first quarter of 2018. The fixed income running yield was 2.9%.

Net premiums earned for the first quarter of 2019 increased by 5.5% to USD 8.8 billion year-on-year, reflecting growth in all Business Units. At constant exchange rates, the increase was 9.4%.

Swiss Re’s Group Chief Financial Officer John Dacey said: ”We are pleased with our premium growth and the very strong investment result in the first quarter of 2019. We continue to have an industry-leading capital position, providing us with high financial flexibility to support profitable growth. On Monday, we will start to return excess capital to our shareholders through the first tranche of our share buy-back programme – a clear commitment to our capital management priorities.“

P&C Re increase in premiums supported by large transactions; result impacted by claims from large losses

P&C Re net income of USD 13 million and combined ratio of 110.3% in the first quarter of 2019 were impacted by claims from large losses. This included claims of around USD 210 million from the North Queensland floods in Australia and around USD 90 million from the Ethiopian Airlines crash and the subsequent grounding of the Boeing 737 MAX fleet. Results reflected the significant impact from prior-year events, with the vast majority being driven by the increase in the loss estimate for Typhoon Jebi, in line with a material increase in the total market loss.

Net premiums earned increased by 10.9% to USD 4.2 billion, supported by large transactions.

Enhanced P&C Re portfolio through April renewals

In the April renewals, treaty premium volumes overall increased by 18%, and the price quality improved by 1%. This reflects the successful outcome of the Japan renewals, where Swiss Re could reinforce its strong position, often at preferential terms, increasing premium volume by 10% and improving price quality by 7%.

L&H Re delivered excellent result

L&H Re reported record first-quarter net income of USD 328 million with an ROE of 19.6%. The Business Unit delivered an excellent performance, driven by active portfolio management, improved mortality developments in the Americas and a very strong investment result.

Net premiums earned decreased by 6.0% to USD 3.1 billion, driven by unfavourable foreign-exchange movements and the termination of an intra-group retrocession agreement with Life Capital.

Corporate Solutions results adversely affected by prior-year events

Corporate Solutions reported a net loss of USD 55 million in the first quarter of 2019. The result was heavily impacted by large and medium sized man-made losses, in particular from prior-year events. The combined ratio increased to 116.3%, and the ROE was –12.1%. The Business Unit is currently undertaking a comprehensive review of all business lines and reserve positions.

Net premiums earned increased by 12.3% to USD 1.0 billion. The active pruning of the US General Liability portfolio was successfully offset by growth in Credit and Property as well as rate increases. Swiss Re expects the positive momentum in commercial insurance rates to accelerate during 2019, after a broad-based 5% rate increase in the first quarter of 2019.

Life Capital delivered gross cash generation of USD 300 million

Life Capital delivered gross cash generation of USD 300 million in the first quarter of 2019, including proceeds from the sale of a further 10% stake in ReAssure to MS&AD Insurance Group Holdings Inc (MS&AD), as announced in December 2018 and completed on 20 February 2019. MS&AD’s total shareholding in ReAssure is now 25%.

The Business Unit’s net income was USD 7 million, supported by the favourable UK investment market performance, offset by ongoing investments in its open book business.

Net premiums earned rose to USD 426 million, mainly driven by the termination of an intra-group retrocession agreement with L&H Re. When measured in terms of gross premiums written and at constant exchange rates, the open book business reported strong growth of 14% year-on-year in the first quarter of 2019.

Swiss Re continues to explore a potential initial public offering (IPO) of the ReAssure closed book business in 2019.1 As Swiss Re has previously communicated and demonstrated by the investment of MS&AD in ReAssure, securing third-party capital is an important part of the strategy to enable further growth of the closed book business.

First tranche of public share buy-back programme to be launched on 6 May 2019

Swiss Re will launch the first tranche of its public share buy-back programme of up to CHF 1 billion purchase value on 6 May 2019 having received Board and all required regulatory approvals. The programme was authorised by Swiss Re’s shareholders at the Annual General Meeting on 17 April 2019 and underlines the Group’s policy of returning capital to shareholders when excess capital is available, in line with the company’s capital management priorities.

For further details on the share buy-back programme, please visit:

Strengthening the Group Executive Committee and outlook

Swiss Re announced today that Nigel Fretwell, Chief Human Resource Officer, and Hermann Geiger, Head Legal & Compliance and Group Chief Legal Officer, will become members of the Group Executive Committee as of 1 July 2019. The addition of these two senior executives underscores the importance of the human capital agenda as well as law and compliance at Swiss Re.

Swiss Re’s Group Chief Executive Officer Christian Mumenthaler said: “Based on the successful year-to-date renewals, we remain optimistic for P&C Re, while L&H Re continues to perform strongly. In Life Capital, we are focusing on preparing the potential IPO of ReAssure in 2019. Corporate Solutions continues to present challenges, and we are taking decisive measures to address recent performance issues. In this context, we are conducting a thorough review of the Business Unit, led by the new Corporate Solutions CEO Andreas Berger, which will be completed in the second quarter.“

First-quarter key figures (Q1 2018 vs Q1 2019)



Q1 2018

Q1 2019

Consolidated Group (Total)

Net premiums earned (USD millions)

8 316

8 775


Net income (USD millions)




Return on equity (%, annualised)




Return on investments (%, annualised)




Running yield (%, annualised)




Common shareholders’ equity (USD millions)

32 321

30 179

P&C Reinsurance

Net premiums earned (USD millions)

3 820

4 238


Net income (USD millions)




Combined ratio (%)




Return on equity (%, annualised)



L&H Reinsurance

Net premiums earned (USD millions)

3 287

3 091


Net income (USD millions)




Running yield (%, annualised)




Return on equity (%, annualised)



Corporate Solutions

Net premiums earned (USD millions)


1 020


Net income/loss (USD millions)




Combined ratio (%)




Return on equity (%, annualised)



Life Capital

Net premiums earned (USD millions)




Net income (USD millions)




Gross cash generation (USD millions)




Return on equity (%, annualised)



1 There can be no assurance that the exploration will result in an IPO of ReAssure, and there is no certainty as to the timing of, or the details relating to, any such IPO, including its terms, structure or the size of Swiss Re’s shareholding in ReAssure following an IPO. Further public statements will be made if and when appropriate.

Media conference call

Swiss Re will hold a media call with a dial-in possibility this morning at 8:30 am (CEST). If you plan to dial in, you are kindly requested to call 10 minutes prior to the start using the following numbers:

From Switzerland: +41 (0)58 310 50 00
From Germany: +49 (0)69 505 0 0082
From the UK:  +44 (0) 207 107 0613
From France: +33 (0)1 7091 8706
From the USA: +1 (1) 631 570 56 13
From Hong Kong: +852 5808 1769

Investors’ and analysts’ conference call

Swiss Re will hold an investors’ and analysts’ conference call this afternoon at 2:00 pm (CEST) which will focus on Q&A. You are kindly requested to dial in 10 minutes prior to the start using the following numbers:

From Switzerland: +41 (0)58 310 50 00
From Germany: +49 (0)69 505 0 0082
From the UK: 

+44 (0)207 107 0613

From France: +33 (0)1 7091 8706
From the USA: +1 (1) 631 570 56 13


Ending Out-of-Country Medical Insurance Too Quickly May Put Ontario Consumers at Risk

The Canadian Association of Financial Institutions in Insurance (CAFII) has warned that the Ontario government's decision to end OHIP coverage for emergency services for Ontarians travelling outside Canada could result in many people travelling abroad without adequate insurance coverage if the change is implemented too quickly and without sufficient communication.

The Government has set October 1, 2019 as the implementation date to end OHIP's out-of-country coverage. But in order for consumers to continue to receive a high level of protection when traveling outside Canada, CAFII says more time is needed – at least a one-year transition period. This longer time frame would allow the Government to undertake a robust, multi-year communications campaign to inform Ontarians about the change and resulting implications. It would also give the industry more time to determine what the new premium rates will be, and to ensure its employees are ready to communicate about the changes and properly serve their customers.

According to CAFII, even under the current situation before the pending change, many Ontarians travel outside of Canada without adequate travel health insurance and without realizing they are at risk of incurring catastrophic financial costs. For example, according to the U.S. Centers for Medicare & Medical Services, the average cost of a three-day hospital stay in the United States is approximately US$30,000, and comprehensive care can run up costs of several hundred thousand dollars or more.

However, by allowing more lead time for the elimination of OHIP coverage for Ontarians travelling outside of Canada, it will provide an opportunity for the Government to inform consumers that OHIP will no longer cover them at all when they travel outside of Canada. It will also allow more time for both the Government and the insurance industry to address the dangerous misconception that private insurance is not necessary when consumers travel outside the country. 

"We believe a robust communications campaign by the Government that supplements what the insurance industry is already doing will be critical in mitigating the risk to the travelling public of this change in insurance coverage," says Keith Martin, Co-Executive Director of CAFII. "That communications campaign should emphasize to Ontarians the importance of having travel health insurance in place before travelling outside Canada, so that they and their loved ones will have immediate access to emergency medical care and related assistance, and can avoid exposure to potentially catastrophic and life-altering financial costs."

At present, OHIP covers out-of-country inpatient services to a maximum of $400 per day, and up to $50 per day for emergency outpatient care. But when these amounts are no longer covered by OHIP, travel medical insurance will become even more important to have, and the cost will undoubtedly rise, says Martin.

Generali UK Says “DON’T Leave Employee Duty Of Care To Chance” As It Launches New Personal Accident And Multinational Solutions

Generali UK has launched Personal Accident and Multinational solutions, adding to its Business Travel Plan launched last year to bring a comprehensive range of local market tailor-made products. This range is designed to address the growing risk of exposure, helping UK and Multinational companies ensure compliance, cost efficiencies and personalised cover for all their people: whether home or abroad.

Available on a standalone or integrated basis, these solutions are suited to the needs of companies with 250+ employees with any number of subsidiaries (or just UK based) anywhere in the world*. They may also act as a stepping stone to a fully compliant multinational programme from Generali Group.

Drawing on Generali Group’s global network and insurance capabilities, combined with the expertise of its wholly owned travel assistance company Europ Assistance, Generali UK can now bring to its local market tailor-made Personal Accident and Business Travel solutions.

Advantages include:

  • Integrated insurance, accident and assistance networks
  • Highly flexible choice of cover
  • One flat annual premium resulting in minimal administration and accounting
  • Simple online claims submission tool, helping to ensure claims are processed quickly and efficiently
  • The backing of a major name in the global insurance arena
  • Global reach of the Multinational Network, allowing for the structure and management of fully compliant programmes from one centralised location

According to the GBTA BTI Annual Global Report & Forecast1, corporate travel spending is predicted to advance 7.1% this year, growing to $1.7 trillion globally by 2022. At the same time, with the increased utility of smart phones and a DIY culture more employees are arranging cover themselves.

Generali UK says that giving employees the freedom to ‘do it themselves’ when it comes to organising essential travel cover can increase non-compliance and, in particular, costs. Duty of care also becomes an issue with less visibility around, for example, the whereabouts of employees who have booked their own travel.

At the same time, the provider warns on the consequences of being left exposed to personal injury claims. This comes as stress, depression or anxiety now accounts for 44% of all work-related ill health cases and 57% of all working days lost due to ill health. The primary cause is workload (44%)2.

Karoliina Gutaj, Head of Strategy & Marketing, Generali Employee Benefits Network, said: “Too many employers risk leaving employee Duty of Care to chance where DIY travel and lack of personal injury and accident cover is concerned. While profits and losses are closely tracked for things like materials and payroll, travel and accident are often left exposed. This could cost business’ financially and reputationally, impacting employee wellbeing and having a knock-on effect on recruitment and retention.

“The fact that all of our travel, accident and assistance solution are under one roof brings cost efficiencies and flexibility to business.”

Simon Thomas, Director – UK Employee Benefits, Generali, added: “Importantly, the launch of this comprehensive range of solutions also helps open up life / non life cross-selling opportunities for UK brokers.”

For more information, click here or email This email address is being protected from spambots. You need JavaScript enabled to view it.
*Subject to local regulatory restrictions
1. GBTA forecasts global business travel growth, Buying Business Travel, Aug 2018 link 
2. Work-related stress, depression or anxiety statistics in Great Britain, 2018, Health & Safety Executive, Oct 2018 link

3 Recommendations To Boost The Benefits Of Aviation In France

The International Air Transport Association (IATA) said that a strategic government agenda to improve competitiveness in France’s air transport sector could generate an additional 500,000 jobs and nearly €60 billion in extra GDP for the nation’s economy by 2037.

These conclusions were reached in a new IATA report on French air transport regulatory competitiveness, which contained three key recommendations to enhance air connectivity in France and boost economic and social opportunities in the country.

“Aviation is the business of freedom, and already creates considerable benefits for France. But France’s competitive position in Europe is notably weak in infrastructure costs, air traffic management efficiency, the quality of regulation, and the costs of social charges. There are huge opportunities for more jobs and greater economic growth if these weaknesses are addressed. The Assises Nationales du Transport Aérien explored these issues but with no significant follow-up measures taken to boost competitiveness. The launch of this competitiveness report with FNAM and the BAR France provides an opportunity to strengthen the foundations of the National Strategy for Air Transportation 2025, which was announced by Minister Borne at the Assises,” said Rafael Schvartzman, IATA’s Regional Vice President for Europe.

At present, aviation generates approximately €100 billion in GDP and 1.1 million jobs in France. Maximizing the competitiveness of the aviation sector could see these numbers increase to nearly €160 billion and 1.6 million jobs, by 2037.

The report’s three key recommendations for France are:

1. Reform economic regulation, such as by strengthening the independent economic regulator, to ensure charges are cost-related and efficient.

2. Implement a French ATM strategy to maximize capacity and efficiency of air traffic management.

3. Adopt smarter regulation principles, for example, promoting offsetting rather than taxation to tackle CO2 impacts from aviation.

Robust Environmental Strategy

Adoption of these recommendations could see passenger demand in France grow from around 90 million today to 142 million under the most optimistic scenario. The successful accommodation of demand for air travel, however, must sit alongside a robust environmental strategy to ensure a sustainable future for flight.

“Aviation must earn its license to grow by demonstrating its environmental credentials. We have ambitious global targets for carbon-neutral growth from next year, and to cut net emissions to half of 2005 levels by 2050. These targets are compatible with the wider goals of the Paris Agreement. The Carbon Offsetting and Reduction Scheme for International Aviation (CORSIA) will generate $40 billion in finance for carbon reductions, but it needs strong support from the French government to ensure its success. Key to that is to resist calls for unilateral measures such as aviation climate taxes, which will provide no environmental benefit and could undermine the international consensus for combined action on aviation carbon emissions,” said Schvartzman.

“The French Assises du Transport Aérien did not conclude with significant measures allowing the French air transport sector to become competitive versus its competitors. The weight of taxes, specific charges related to the sector, and the social charges in France are way above the European average and constitutes a heavy handicap for the airlines based in France,” highlighted Alain Battisti, President of FNAM and Chalair Aviation.

“The capacity of the airspace and connectivity are two essential elements to the economic and tourist development of a country” said Jean Pierre Sauvage, President of BAR France.

The report on French air transport competitiveness benchmarked France against the rest of Europe across five key areas.

  • Passenger facilitation: France has successfully implemented automated border control systems, but visa application processes are lengthy.
  • Cargo Facilitation: Adoption of digital cargo processes such as e-Air Waybill is low, but initiatives to improve cargo movement facilitation are under way.  
  • Supply Chain Management: France has among the highest passenger charges and taxes in Europe, increasing the cost of traveling by air, and hampering connectivity. 
  • Infrastructure Management: France could improve its capacity use of existing terminals and runways, to allow costs to be reduced in the short-term, and create sufficient capacity for future longer-term growth.
  • Regulatory Environment: Many regulations that apply in France are inconsistent with smarter regulation principles, particularly adopting a more systematic approach to consultation.

March Passenger Demand Growth Slows On Later Easter Holiday

Global passenger traffic results for March 2019 showing that demand (measured in revenue passenger kilometers, or RPKs) rose 3.1%, compared to the same month a year ago, which was the slowest pace for any month in nine years.

This largely was owing to the timing of the Easter holiday, which fell nearly a month later than in 2018. On a seasonally-adjusted basis, the underlying growth rate has been relatively steady since October 2018 at a 4.1% annualized pace. Capacity (available seat kilometers or ASKs) for the month of March grew 4.2% and load factor dropped 0.9 percentage point to 81.7%.

“While traffic growth slowed considerably in March, we do not see the month as a bellwether for the rest of 2019. Nevertheless, the economic backdrop has become somewhat less favorable, with the IMF having recently revised its GDP outlook downward for a fourth time in the past year,” said Alexandre de Juniac, IATA’s Director General and CEO.

Total Market 100.0% 3.1% 4.2% -0.9​% 81.7%
Africa 2.1% 2.6% 2.0% ​0.4% 72.0%
Asia Pacific 34.4% 1.9% 3.5% ​-1.3% ​81.2%
Europe 26.7​% 4.9% 5.4% ​-0.4% 83.7%
Latin America 5.1% ​5.6% 5.1% ​0.3% ​81.5%
Middle East ​​9.2% -3.0% 2.1% ​-3.9% ​73.9%
North America 22.5% 4.9% 5.0% ​-0.1% 85.0​%

International Passenger Markets

March international passenger demand rose just 2.5% compared to March 2018, which was down from 4.5% year-over-year growth recorded in February and almost 5 percentage points below its five-year average pace. All regions showed growth with the exception of the Middle East. Total capacity climbed 4.0%, and load factor fell 1.2 percentage points to 80.8%.

  •  European carriers saw March demand increase 4.7% over March 2018, down from 7.5% annual growth in February. The result partly reflects falling business confidence in the Eurozone and ongoing uncertainty about Brexit. March capacity rose 5.4% and load factor slid 0.6 percentage point to 84.2%, which still was the highest among regions.
  •  Asia-Pacific airlines’ traffic climbed 2.0% in March, compared to the year-ago period, which was down from 4% growth in February. However, results were stronger on a seasonally-adjusted basis. Capacity increased 4.0%, and load factor dropped 1.6 percentage points to 80.1%.
  •  Middle East carriers’ passenger demand fell 3.0% in March, marking a second consecutive month of declining traffic. This reflects the broader structural changes in the industry which have been taking place in the region. Capacity increased 2.3%, and load factor plunged 4.0 percentage points to 73.8%.
  •  North American airlines posted a 3.0% traffic rise in March compared to the year-ago period, which was down somewhat from 4.2% year-on-year growth in February. On a seasonally-adjusted basis, traffic has been trending strongly upwards, however. Capacity climbed 2.6% and load factor edged up 0.3 percentage point to 83.7%.
  •  Latin American airlines had the fastest traffic growth at 5.5%, compared to a year ago, up from 4.6% in February. March capacity rose 5.8%, and load factor dipped 0.2 percentage point to 81.9%. Latin America was the only region to show an increase in the year-on-year growth rate for March compared to February. In seasonally-adjusted terms traffic continues to trend upward sharply, notwithstanding economic and political uncertainty in some key countries.
  •  African airlines’ demand increased 2.1% compared to March 2018, down from a 2.5% rise in February. Capacity climbed 1.1%, and load factor strengthened 0.7 percentage point to 71.4%. The upward traffic trend has softened since mid-2018 in line with falling business confidence in some of the region’s key economies.

Domestic Passenger Markets

Domestic demand rose 4.1% in March, which was a deceleration from 6.2% growth recorded in February that was driven largely by developments in China and India. Domestic capacity climbed 4.5%, and load factor dipped 0.3 percentage point to 83.4%.

Domestic 36.0% 4.1% 4.5% -0.3​% 83.4%
Dom. Australia 0.9% -3.2% -2.1% ​-0.9% 79.3%
Domestic Brazil 1.1% 3.2% 2.1% ​0.9% ​80.9%
Dom. China P.R. 9.5​% 2.9% 4.4% ​-1.2% 84.2%
Domestic India 1.6% ​3.1% 4.7% ​-1.4% ​86.6%
Domestic Japan ​​1.0% 4.2% 3.6% ​0.4% ​74.5%
Dom. Russian Fed. 1.4% 14.2% 11.1​% ​2.2% 80.5​%
Domestic US ​14.1% ​6.3% ​6.9% ​-0.5% ​85.8%


  •  India’s domestic traffic rose just 3.1% in March, down from February’s growth of 8.3% and well-off the torrid five-year average growth pace of close to 20% per month. The slowdown largely reflects the reduction in flight operations of Jet Airways—which stopped flying in April—as well as disruptions at Mumbai airport owing to construction.
  •  Australia’s domestic traffic fell 3.2% in March, marking the fifth consecutive month of contracting demand.

The Bottom Line

“Despite March’s slowdown, the outlook for air travel remains solid. Global connectivity has never been better. Consumers can choose from more than 21,000 city pair combinations on more than 125,000 daily flights. And air fares continue to decline in real terms.

Aviation is truly the Business Freedom for the more than 12.5 million passengers who will board flights each day. But it also remains extremely challenging, as the recent failures of Jet Airways and WOW Air illustrate. Airlines compete intensely with one another, but they also cooperate in areas such as safety, security, infrastructure and the environment, to ensure that aviation can accommodate a forecast doubling in demand by 2037. Next month, leaders of the industry will gather in Seoul for the 75th IATA Annual General Meeting and World Air Transport Summit where all of these items will be high on the agenda.”

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