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UPMC Health Plan Earns A- (Excellent) Rating from A.M. Best

UPMC Health Plan has retained its financial strength rating of A- (Excellent) from A.M. Best the world's oldest and most authoritative insurance rating and information source.

The A- (Excellent) rating with a stable outlook applies to UPMC Health Plan (HMO and commercial plans) and its affiliates UPMC Health Network (PPO products) UPMC for You (Medicaid) and Community Care Behavioral Health Organization.

The ratings are a reflection of what A.M. Best described as UPMC Health Plan's "strategic role" as the managed care affiliate of UPMC a fully integrated health care delivery system that "is formed around one of the nation's premier academic medical centers."

"UPMC Health Plan(s) continues to demonstrate solid consolidated underwriting and net income supplemented by expansion of its geographic footprint outside of its core market of western Pennsylvania" A.M. Best said in announcing the ratings. The rating service also cited UPMC Health Plan's "strong membership and premium growth" across its diversified business lines.

 

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Pacific Prime Clarifies International Private Medical Insurance Inflation

Pacific Prime has reflected on their annual International Private Medical Insurance (IPMI) industry reports, which set out to outline the rates of inflation among major insurers in various regions around the world. Click here to read the reports. The advisor further analysed findings in an effort to explore the methodology used in reporting inflation rates, along with indications of where care should be taken when drawing specific conclusions.

The article demonstrates a requirement for clarification between the data used in regards to promotions and discounts, taking them into account rather than omitting their significance by removing their impact on premium inflation analyses. The advisor deemed it "more beneficial to interested consumers to reflect true pricing at the time of our reporting to give a more accurate depiction of the current landscape of the market". The article makes it clear that this decision left some numbers open to interpretation due to the final figures being presented with an emphasis on inflation percentage. This explanation was given to a query on how some insurers have a seemingly high inflation percentage rate, which may not be an accurate reflection of a given year's rate.

The first example of this came in Pacific Prime's position for William Russell, who appeared to have the highest annual inflation of the year among insurance companies covered within the report. The advisor showed that, at first glance, there could be an assumption that William Russell simply raised premiums at a greater rate than others. However, the issue becomes clear when the context of temporary promotions given as an additional discount to Pacific Prime clients is explained.

Pacific Prime states they used this discounted rate as data for the annual IPMI inflation report, which was not truly indicative of William Russell's published book rates. When the promotion ended, the data was 'artificially exaggerated' and could not be considered a true representation of William Russell's actual inflationary rise between 2013 and 2014. They highlighted that William Russell actually had the 2nd lowest average inflation rate in 2013, and the lowest average inflation in 2012.

William Russell has a long established track record of providing quality insurance products at an excellent value, introducing new measures to combat inflation in the form of new provider and limited direct billing networks. Although the insurer seemingly had the highest inflation in the report, Pacific Prime would like to acknowledge that the percentage increase is not indicative of actual premium price, and expects a return to lower inflation rates in the 2015 report.

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Friends Life Revolutionises Protection Market With The Launch Of Global Treatment

Friends Life has announced the launch of Global Treatment, in association with Best Doctors – an additional option to its Protect+ range. Global Treatment is the first protection option of its kind in the UK and is exclusive to Friends Life.

Friends life - Global Treatment HD from Friends Life on Vimeo.

Global Treatment gives customers access to the leading medical experts and treatments around the world – for themselves and their children. Covering a range of serious illnesses, including all cancers, Global Treatment will pay and arrange for people to get from their front door to a hospital they choose. It offers more choice and access to high-quality treatment in leading international hospitals outside of the UK.

Mark Anders, Director of Sales at Friends Life, said “Global Treatment revolutionises the protection insurance industry and is a unique optional benefit in the UK. It provides peace of mind that comes from knowing you are in the best hands. If a customer or their children were diagnosed with a serious illness, Global Treatment can open the doors to more options, giving them access to treatment at world-renowned hospitals by leading medical experts. If a customer is diagnosed with cancer and the best possible treatment is in New York, Zurich or Sydney, for example, Global Treatment will cover the costs. All they have to do is concentrate on getting better.”

The key features of the Global Treatment option are:

  • Available to customers and their children
  • Pays for all overseas treatment at a hospital chosen by the customer
  • Arranges and pays for all travel from the customer’s front door to a hospital they choose, including cost for an accompanying person
  • Arranges and pays for all accommodation costs, including cost for an accompanying person
  • Pays £100 a day allowance per night of hospital stay.
  • Each insured person has unlimited use of Global Treatment, up to a maximum benefit entitlement of £1 million per insured person, per year. They can be treated multiple times with coverage of up to £2 million per insured person in their lifetime
  • On return to the UK, it covers the cost of necessary medication if they are not available on the NHS (up to the value of £50,000)
  • Global Treatment covers cancer, neurosurgery, coronary artery by-pass surgery, heart valve replacement or repair, bone marrow and live donor organ transplant
  • Costs just £4 per month*

Frank Ahedo, Managing Director at Best Doctors, who are supplying the medical expertise for Global Treatment, said “Best Doctors has been providing people in the UK with a Second Medical Opinion service for over 10 years. Global Treatment now builds upon the value of this service, taking it to the next level by providing and paying for treatment and expenses. As well as giving advice to people, we can now get them in front of some of the most skilled doctors at centres of medical excellence around the world. I’m very proud that Best Doctors will be working alongside Friends Life to deliver this fantastic additional benefit.”

Global Treatment is available to anyone taking out a Friends Life Protect+ policy (life cover, critical illness cover or income protection). Through those policies, customers can already access Best Doctors ‘Second Opinion’ service**. The results of this service will allow Friends Life customers to make informed decisions regarding treatment options and should the decision be to travel to a leading international hospital Global Treatment will make that possible.

Mark Anders from Friends Life added, “All too often you hear heart-breaking stories of families desperately trying to raise thousands of pounds to send a loved one abroad so they can get treatment for a serious illness. In many cases, Global Treatment can be the solution by providing the access and the opportunity to receive the very latest treatment. We are the only UK protection insurer to offer this benefit and we’re able to do it for just an additional £4 a month, making it a fantastic proposition for customers and their children. Our propositions are designed around the real needs of real people and what they may face whilst coping with a serious illness. Global Treatment is just another example of how we deliver for our customers.”

*Global Treatment can only be purchased as an addition to a Friends Life Protect+ policy
**Second Opinion is a discretionary benefit which can be withdrawn by Friends Life at any time

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Clements Worldwide Partners With Starr China To Provide International Insurance Solutions In China

Clements Worldwide, a global provider of international insurance products and reinsurance capabilities, today announced the launch of a partnership with Starr China to deliver insurance coverage to expatriates and international organisations in China.

Starr China, a premier China-based insurer, is joining forces with Clements to target the international individual and group segment in this growing insurance market. Starr China, under license by Clements Worldwide, will introduce Clements Scholars®, a group health program for expatriate educators and school staff, to serve the international school community in China. Clements Scholars is unique in that it provides comprehensive insurance coverage, extensive member access to medical facilities and standardised benefits to educational institutions with locations in multiple countries.

“China has one of the world’s largest number of international schools, with more than 300 educational institutions employing expatriate teachers and personnel,” said Chris Beck, president of Clements Worldwide. “China is a fantastic market for Clements Scholars. The program is already recognised for helping teachers and staff access medical facilities, top providers and resources around the world. With Starr China’s local market leadership, Clements Scholars will soon be the reference in China as well.”

“Clements Scholars offers an affordable, wide-reaching, and comprehensive plan, a best-in-class network of providers and rich member benefits,” said Kevin Liang, president of Starr China. “We are confident about the potential of Clements Scholars in China, as well as the opportunity present in this market for products covering international property, school directors’ liability and others, for a complete suite of expatriate and international risk management coverage solutions.”

Starr China and Clements Worldwide seek to provide insurance coverage to the estimated 633,000 expats living in China, a community growing by about 5 percent each year alongside growth in China’s economy. The partnership affords expatriates access to more choices for international health and other insurance products, addressing the rising costs of medical care at private clinics used by foreigners in China. Mr. Beck adds, “Our expertise in serving the international school market and expatriate markets, in addition to broader multinational corporate market, will ensure our customers receive world-class medical treatment and save money in the process in China and worldwide.”

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Rise In Premium Growth Plus Low Insurance Take-Up Spells Opportunity For Asia Pacific

Aon Benfield has launched its ‘Welcome to Asia Pacific’ guide – a journey through sixteen of the region’s growing insurance and reinsurance markets to identify growth opportunities. As rapid economic development, population growth and urbanisation lead to increased insurance penetration, Asia Pacific represents a key area of growth in the global marketplace.

 

Aon Benfield’s Insurance Risk Study listed five Asian markets in the top 10 of its Country Opportunity Index, which identifies the world’s most promising property and casualty markets. Singapore comes third in the list of 50 countries, immediately followed by Hong Kong, Malaysia and Indonesia. With an insight into economics fundamentals, rating agency perspectives, political cultures and regulatory environments for local and foreign investors, this guide serves as a snapshot into the 16 countries for global market insurers and reinsurers seeking diversification or Asian firms looking for multi-national expansion. The findings show that India and China – representing the BRIC countries – enjoyed the highest compound annual growth rate (CAGR) of non-life premium at 21% and 20% respectively from 2009 to 2013.

Thailand, Vietnam and Indonesia also enjoyed significant growth with CAGR above 15%. While developing markets in Asia Pacific enjoyed fast growth, the report also reveals that the insurance penetration rates remain low. For the year ended 31 December 2013, non-life penetration rates for India (0.6%), China (1.1%), Vietnam (0.7%) and Indonesia (0.4%) were below the 1.4% Asia Pacific average and well behind developed markets in this region such as Australia, New Zealand and Korea. This highlights the potential of these markets in terms of future opportunities.

George Attard, Head of Aon Benfield Analytics for Asia Pacific, commented, “The Asia Pacific region is home to more than half the world’s population, with diverse societies, cultures, economies and regulatory regimes. Rapid economic development, population growth and urbanisation – combined with rapidly evolving insurance regulation – will lead to increasing insurance penetration. While this will create the potential for significant organic growth, there is also a notable opportunity for growth in specialty lines and product innovation. With many insurance and reinsurance companies already investing in this region and seeking to take advantage of the growth opportunities, an expert insight into these markets is crucial. Aon Benfield’s local teams have produced this guide as both an introduction to and exploration of sixteen key markets in Asia Pacific.”

Malcolm Steingold, CEO of Aon Benfield for Asia Pacific, added, “The greatest opportunity not only for 2015 but for the immediate future is the development of new products to cater for the expanding universe of risk and also to increase penetration into uncovered conventional risk across the region. We see growth opportunities across all the economies of Asia. The scale of the opportunity varies substantially from country to country and is due to a combination of factors including GDP growth, level of insurance penetration and the size of the population. Taking these factors into account China and Indonesia stand out with other Asian economies showing significant potential.”

The data for the guide has been collated from major rating agencies, regulators, industry associations, International Monetary Fund, World Bank, AXCO, Aon Risk Solutions, Aon Hewitt and Aon Benfield. In addition, the guide includes Aon Benfield’s own views of each market’s major risks, regulatory updates and market outlook.

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Private Health Insurance Can Play A Key Role In Building Sustainable National Healthcare Systems

As income levels in emerging markets rise, people spend more on healthcare services as a means to improve their quality of life. This is driving demand and expectations for better health services in the emerging markets, says Swiss Re's latest sigma study Keeping healthy in the emerging markets: insurance can help.

Key Points

Demand and expectations for better healthcare services are rising in the emerging markets; Premiums for reimbursement-type products expected to double by 2020; Private health insurers have the tools to meet this demand; Private health insurance can play a key role in building sustainable national healthcare systems; The success of innovative solutions in advanced markets has attracted interest in many emerging countries.

The study shows the insurance industry is well-equipped to meet the increasing healthcare spending needs of individuals, and that it can also become a central pillar of a sustainable national healthcare delivery system. In the emerging markets, the money to pay for healthcare has traditionally come from the government via taxation revenues and from private individuals who often make significant contributions from their household savings. However, reliance on these two channels of healthcare financing is becoming increasingly challenging. There are growing strains on public coffers and at the same time, more advanced technologies and medicines are pushing up the price of healthcare services.

The benefits of private health insurance (PHI)

PHI provides consumers financial protection against future care-related expenses at an affordable regular premium, relieving the burden of large one-off hits to private savings.

"Consumers will increasingly be purchasing PHI because it provides a means to pay for level of healthcare services they need," says Kurt Karl, Swiss Re's chief economist.

PHI also offers consumers more choice with respect to place, type and level of treatment, and, with certain products, freedom to choose how to use the benefits received (eg. to cover treatment costs or perhaps as income replacement). In this way, it can supplement and/or complement public sector health services by helping consumers pay for treatments not covered by or available from state-sponsored schemes. For governments, PHI has the potential to be a main channel of healthcare expenditure. However, it is underused. In 2012, PHI covered less than 10% of total healthcare spending in the main emerging markets. On the supply side, PHI can bring innovation across the value chain in healthcare, including in product development, sales and distribution, underwriting, claims, payment systems and customer services, leading to better services at lower cost.

"Insurers have been able to reach new clients with the use of new technologies and by pricing products in line with willingness and ability to pay", says Clarence Wong, co-author of the study.

For example, in 2014 a mobile health insurance scheme in Nigeria called Y'ello Health was launched. Subscribers pay an affordable premium using their mobile phones for cover of basic outpatient care and minor surgery. The scheme is expected to significantly extend the reach of health insurance in Nigeria, particularly in rural areas and to the previously under- and uninsured.

Growth of Private Health Insurance products

There are two main types of PHI product. The first is reimbursement-type, with which the insured is paid back the costs incurred in hospital and other treatment. The second are fixed-benefit products, whereby the insured receives a lump sum at the onset of specific conditions. Fixed-benefit products include critical illness, disability income and hospital cash insurance.

Both product types are showing strong growth in the emerging markets. Premiums from reimbursement products grew by an estimated 11.2% in real annual terms between 2003 and 2013. They are forecast to rise on average by 9.6% per year to 2020, three times the rate of global premium growth in this segment.

Premium data on fixed-benefit products in the emerging markets is scarce, but expert interviews conducted for the study suggest that demand for fixed-benefit PHI products is also growing rapidly.

Emerging markets

The PHI sector is at varied stages of development in the different emerging regions, due in large part to the different structures of national healthcare systems and health infrastructure. In Emerging Asia, many governments have earmarked reimbursement products as a growth area, and premiums are forecast to grow by 15.4% annually between 2013 and 2020, the strongest of all the emerging regions. Fixed-benefit products are also popular. For example, cancer insurance has attracted widespread interest in many markets in the region following the success of cancer products in South Korea and relapse products in Japan.

In Latin America, premiums from reimbursement-type products grew by a real annual growth rate of 6.8% from 2003 to 2013, and are forecast to average growth of 6.2% to 2020. On the fixed-benefits side, critical illness solutions are developing favourably, although lack of consumer awareness remains a key obstacle. Hospital cash insurance, another fixed-benefit product, has become increasingly common as part of bancassurance offerings.

Against a backdrop of relatively comprehensive coverage of social security benefits, overall PHI peneration is low in Central and Eastern Europe. PHI is mainly used to pay for advanced and additional treatments not covered by the public healthcare systems. Critical illness products are widely available as riders to endowment and unit-linked insurance policies, and as stand-alone solutions. Hospital cash insurance is also popular.

In Sub Saharan Africa, private out-of-pocket payments from household savings are a main component of total healthcare spending. The PHI sector remains small, however microinsurance is expected to become a main channel of healthcare expenditure in many of the region's markets.

Private Health Insurance Can Play A Key Role In Building Sustainable National Healthcare Systems

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Allianz Worldwide Care Launches International Health Insurance Plans For Individuals In China

Allianz Worldwide Care has announced the launch of international healthcare plans for individuals and their families living in China, developed in partnership with sister company, Allianz China General Insurance Company.

The healthcare plans, which have been designed specifically for expatriates and local nationals, will initially be available for those living in Shanghai, China’s largest population centre. The creation of the healthcare plans for individuals was a natural evolution for the two Allianz companies, following the successful launch of a range of corporate healthcare plans and the establishment of a dedicated health insurance support centre in the Pudong District of Shanghai in 2012.

Expatriates and local nationals based in Shanghai have a choice of three Core Plans, covering a wide range of in-patient and day-care treatments, along with other benefits such as medical evacuation, diagnostic tests and oncology treatment. The Core Plan can be supplemented by optional plans offering cover for out-patient, maternity, and health and wellbeing treatment. There are also two optional dental plans providing cover for general dental treatment, dental surgery, and orthodontics.

Michael Li, CEO of Allianz China General Insurance Company said, “Our local knowledge and contacts together with Allianz Worldwide Care’s global healthcare expertise have enabled us to provide an outstanding solution to individuals looking for international health insurance. The importance of private health insurance and access to private local and international medical facilities is widely recognised, particularly given China’s overcrowded public hospital system.”

Claude Daboul, Director of Sales, Marketing and Operations at Allianz Worldwide Care added, “Shanghai has a population of approximately 24 million and market insights indicated a growing demand for cover which gives individuals and their families access to private and international medical facilities. Our new healthcare plans, developed in partnership with Allianz China General Insurance Company, provide this. They offer direct settlement for in-patient, out-patient and dental treatment throughout China, and access to Allianz Worldwide Care’s extensive medical network outside of China. The modular design of these plans also means that clients can select the type and level of healthcare cover that’s absolutely right for them.

Daboul continued, “What is equally compelling for clients is that these healthcare plans offer generous levels of cover for pre-existing and newly diagnosed chronic conditions as well as oncology treatment.”

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Bupa Launches New Dental Network

Bupa has announced the launch of a new national Dental Network to help dental insurance customers find high quality and trusted dental practices.

The new Bupa Dental Plus Network will be formed of Bupa’s own dental centres, along with an ever-growing network of partner dental centres. It is expected that by March the network will reach 200 practices across the UK. The launch comes as nearly a quarter (24%) of respondents in a Bupa survey said they would visit the dentist more often if their dental clinic was in a more convenient location and it was easier to get an appointment at a time to fit around work.

Bupa insures over 130,000 employees through employer dental health plans. The new network will help them to find dental centres that are close to their home or place of work, as well as offering them a 20% discount on general dental treatment.

Patrick Watt, corporate director at Bupa, said: “We know how important it is for businesses to offer their employees access to high quality healthcare, including good value dental care, provided by dentists they can trust. That’s why we’ve established our new dental network – to give employers confidence that the dental care that their employees receive is high quality and trusted by us.”

The healthcare group has operated dental centres since 1999, providing customers with high quality, affordable dentistry in major UK cities. They are on track with their plans to own 50 dental centres by the end of 2015, becoming one of the largest private dental chains in the UK. All practices in the network are quality-assured and meet standards set out by the Care Quality Commission.

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Top 5 Reasons Why Currently-Insured Consumers Should Reshop for Health Insurance During Open Enrollment

eHealth, Inc. published its top five reasons why even consumers who already have health insurance may wish to reshop for new 2015 health plans during the upcoming open enrollment period.

The Affordable Care Act (ACA) established nationwide open enrollment periods during which consumers can enroll in major medical individual or family health insurance plans. The open enrollment period for 2015 plans is scheduled to begin on November 15, 2014 and continue through February 15, 2015. During open enrollment, eligible consumers may also apply for subsidies to reduce their monthly health insurance premiums.

Not all health insurance policy holders are required to reshop during open enrollment in order to retain coverage for 2015. However, failing to re-evaluate their coverage options and to update their subsidy eligibility during open enrollment could cost consumers by leaving them in plans with the wrong benefits or with higher premiums or lower subsidies than necessary.

"Think of open enrollment as your chance to get an annual health insurance checkup," said Gary Matalucci, eHealth Vice President of Customer Care. "Unless you experience a qualifying life event in 2015, this may be your only chance to reconsider your coverage options and get the subsidy help that you're due before 2016 comes around. If you're already covered and not sure if you should shop again this open enrollment season, we've identified five great reasons why doing so could save you money or help you find a better plan."

Five Reasons Consumers Should Shop -- or Reshop -- for Coverage During Open Enrollment

You want a health plan that covers your preferred doctors and hospitals. If you rushed into your current health insurance plan last year, you may not have double-checked to be sure your favorite doctors or hospitals were covered. Many health insurance plans limit members to a specific network of preferred doctors and hospitals. When seeking care from medical providers outside of your plan network, your coverage may be severely reduced, or even nonexistent. If you're unhappy with the network of medical care providers available to you in your current plan, look at your options for 2015 during open enrollment. Shop through a licensed online marketplace like eHealth to search for plans accepted by your preferred doctors.

You may be entitled to more premium subsidies in 2015. Government subsidies that reduce your monthly premiums are made available to qualifying persons with a household income of between 133% and 400% of the federal poverty level. If you received subsidies this year but your anticipated income for 2015 is lower than you anticipated for 2014 when you applied for subsidies last time, you may be due more subsidy assistance next year. Depending on the preferences you communicated when applying for subsidies last time, you may need to reapply and reshop for coverage in order to update your subsidies for 2015.

You don't want your subsidies to decrease or disappear in 2015. Depending on the preferences you communicated when applying for subsidies last time, your subsidy dollars may dry up completely after December 31, 2014 unless you reapply and reshop for coverage during open enrollment. If the "benchmark plan" for your area -- the plan that helps determine the value of your subsidies -- changes in 2015, this could also result in the reduction of subsidy dollars you may be entitled to next year. Shop through a licensed online marketplace like eHealth or visit your state's government health insurance exchange to learn more about your eligibility for subsidies.

You don't want to pay the increased tax penalty next year. If your current health insurance plan is being cancelled at the end of this year or if you find yourself uninsured or underinsured -- for any reason -- for three months or more next year, you may be subject to tax penalties on your 2015 federal tax return. For 2015, the tax penalty is increasing from $95 per adult or 1% of your taxable income (whichever is greater) to $325 per adult or 2% of your annual taxable income (whichever is greater). Take the time to shop for coverage during open enrollment and keep your premium payments up to date if you want to avoid a nasty surprise on tax day.

You want a health plan better suited to your personal needs and budget. All health insurance plans meeting the coverage standards of the ACA provide the same suite of essential health benefits -- but not all plans are structured in the same way. Some plans come with higher monthly premiums and lower deductibles, which may be a good choice for people who use medical services more often. Other plans may come with lower monthly premiums and higher deductibles, which may be a good choice for those who only value coverage for serious accidents and illnesses. New health insurance plans are being introduced for 2015, so if your current plan is mismatched for your personal coverage needs, open enrollment is your chance to shop around.

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Innovative New Insurance Product Closes Significant Gap In Global Life And Health Protection Market

Aon Benfield, has announced the launch of an innovative new insurance product that closes a significant gap in the Life and Health global protection market.

Developed by the firm’s ReSolutions team and Aon Private Clients, the product allows ultra high net worth (UHNW) individuals residing outside of the UK to access previously unavailable high levels of life insurance cover by increasing the size and geographical scope of their life insurance limits. Through the expansion of life insurance limits, the product can be used effectively to mitigate the exposures on UHNW individuals’ UK interests – such as property. Insurance capacity for the product is being provided by the renowned Lloyd’s of London insurance market, supported by an Aon Benfield reinsurance transaction.

Demand for the product was originally identified by Aon Private Clients, which noted that life assurance options for internationally domiciled UHNW individuals were very limited. The new product offering is designed with international UHNW individuals in mind who have sizable assets and/or investments in the U.K.. It will be made available through professional intermediaries and advisers.

Andrew Matson, Managing Director within Aon Benfield ReSolutions, said, “Where UHNW international life cover had traditionally been very scarce, this new product provides a stable and long term solution to Aon clients. ReSolutions worked with Aon Private Clients to access capacity within both Lloyd’s and the reinsurance markets where large premiums and limits are commonplace. Through Aon Private Clients it was possible to identify a number of key sources of distribution, which enabled us to appraise the size of the target market and quantify insured needs.”

The UHNW life product is allowing Aon Private Clients to expand its High Net Worth (HNW) product offering and fulfill a greater range of requests from specialist advisors.

Charles Hamilton-Stubber, Chairman of Aon Private Clients, said, “We are increasingly receiving requests from specialist wealth managers and family offices requiring life Insurance for individuals in the High Net Worth life space. By working closely with our ReSolutions colleagues we can now add this product to our existing HNW suite to create a ‘concierge service’ to the ultra high net worth client, and provide an unrivalled range of solutions.”

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Expatriate Health Insurance

Compare Expatriate Health and Medical Insurance Plans, Coverage, Quotes and Companies, with iPMI Magazine. iPMIM represents leading providers of expat medical, health and travel insurance plans. Find the right and most appropriate Expatriate Health Insurance for overseas travel, global mobility and relocation