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Future Expat Employee Trends for Expatriate Employers

expat employees

Cigna has recently released a detailed study on expatriate trends for global employers with the National Foreign Trade Council Cigna Global Benefits surveyed employees on how they felt about the benefits offered by expat employees – such as housing, income, taxation, education and of course insurance. This is very valuable for global mobility managers because Cigna set up anonymous feedback from the employees for candid feedback from over 100 countries. We wanted to summarize the findings from an expat insurance specialist perspective and provide our insights and opinions for our expat clients and prospective clients around the world.

Global Mobility Changes

Global mobility has been changing over the past 10 years, including how female expats are being supported by expat employers. Many female expats are not feeling well served by their employers. Cigna also noted how the internet has really changed the communication between expats and employers over the past decade. What’s remained consistent is that the number of US expatriates is going down, probably because American expats are considered expensive employees. They are definitely more expensive to insure as they require global coverage including the United States.

Also, more and more expats being sent abroad to developing and third world destinations and less to well developed markets such as Europe. Asia and Africa are key destinations for expats in 2017. This creates more complexity for expat employers when sending people to third world locations such as Lagos or Cambodia.

What do Expat Value? 

In the study, expats noted that before they took on an expat assignment, what they valued the most was:

  • Relocation Services
  • Settlement Services
  • Medical preparedness

When expatriates were going to a location, expats found that overall assignment preparedness was crucial, especially since the cost of a failed assignment can be up to 4 times their salary.

Expat Communication is Critical

The study also found that expat employees had some insights on communications. Many expats felt that employers did not communicate often enough with them before going overseas. Obviously income was a key part of communications, but also moving arrangements and medical benefits when living abroad. Expats wanted to know more about how to live in new location, restaurants, exercise, safety and of course where they can obtain medical assistance. Providing a list of hospitals that the expat medical plan has a direct relationship is something our firm sees as an easy communication to provide as top flight medical providers such as Cigna have this all online for free.

Added Value for Expats is Important

Another suggestion that we find helpful for expats is cross culture training, language courses and even tax assistance. Our firm has many contacts with providers in all these areas. In fact, we work with some excellent expat tax specialists who can assist your expat population. Mentoring from other expats in the new country location is really important for many expatriates. As an expat employer, you want to make your employees as comfortable and settled in their new location so they can hit the road running.

Medical Care

The study also found several items related to medical care that are quite interesting. This includes

  • Over 70% of expat employees use medical care while living abroad regardless of age
  • More expats are becoming comfortable getting medical care locally if its of a high quality and available.
  • Emergency evacuation is still an important concern
  • Having a large medical network and not having to pay out of pocket is quite important for expatriates. In our dealings with expat and their employers, we find this to be the number one concern of expatriates.
  • Expats in North America reported more access to mental illness services

The above observations and trends are often experienced by our expat group clients. The study did not talk about other insurance benefits that are critical for expat employees and employers – such as global life and accident coverage, dental, employee assistance and long term disability insurance. More often than not employers only address the medical insurance component with these other vital services as an after thought. We also find that medical coverage for their partners and children is also a critical concern for most expats, so this should be a factor for employers. Some firms will only provide coverage for the employees and leave the employee to obtain more expensive coverage for his or her dependents, which we feel is an ineffective expat employment strategy.

Our firm believes that if you want to have a higher chance of a successful expat assignment, you need to have a comprehensive and effective global benefit platform that is sourced by an independent expat specialist firm. Claims issues and complaints from expat employees half way around the world can quickly bog down an HR department and lead to failed assignments.

global medical

Balancing Expat Assignment Costs

Expatriates realize that their HR Managers are very concerned about the costs associated with expat assignments, perhaps 3 or 4 times the annual salary when all benefits are worked in, but companies also have to have a benefit plan and compensation package that will both attract and retain valuable global expat talent. We find that global medical premiums often rise approximately 9 to 15% per year assuming normal claiming patterns to keep up with health inflation trends. At renewal the insurers will often present higher deductible and coinsurance options, but these are very difficult to implement in the expat sector as these employees expect global medical plans that are attractive, easy to use and at little or no cost to their pocket books.

Repatriation

Another concern for expats is repatriation, which generally means moving expats back to their home country, next opportunity or another expat country assignment. Most employers have little or no repatriation program for their employees. Reverse culture shock can even be an issue for many employees coming home from countries with radically different cultures.

If your company has expatriates located abroad and would like a second opinion on your global benefit plan, it pays to work with an expatriate insurance specialist firm such as Expat Financial, which is a division of TFG Global Insurance Solutions Ltd.. Contact us today to discuss your expatriate insurance program, provide a detailed analysis and obtain quotes from the market.

 

The Cigna study can be found Cigna global expat trends study.

TFG Global is a valued broker for both individual and group plans from Cigna and our contacts at the company are both extensive and high level. We have worked with Cigna for many years and know their capabilities and plans inside out. For more information on the corporate Cigna plan we offer expats, click HERE. We also offer their individual global health plan.

You can listen to the interview at:

https://www.cignaglobalhealth.com/resources/podcasts/episode-1-globally-vocal.html?__prclt=5A7VZBzf

Or listen below:

2017 Travel Destinations: Best of China for Expats & Visitors

Why international health insurance is critical in Beijing for expats

Beijing is the capital of China and is located in the northern China. It is a city that is well known for its cultural heritage sites such as the Forbidden City, Temple of Heaven, Summer Palace, Ming Tombs and of course the Great Wall. Besides being the economic center in China, this fascinating city is home to many multinationals from abroad and local Chinese companies headquarters. Many firms are willing to bring in new expats from abroad with western education and experience. In this article, we will discuss healthcare in Beijing, why international health insurance is critical for expats and expatriate group insurance plans for international employers if wishing to open a market in Beijing.

Healthcare in Beijing

Generally speaking, the standard of healthcare system in Beijing is higher than in most cities within China. Since Beijing is the capital city of China with a large population, many well-known doctors and medical experts reside there. Many patients travel to Beijing just to see a well-known doctor in one of the many hospitals that are located there. Public hospitals in Beijing are not only serving local residents, but also patients come from all over the places in China. As a result, most public hospitals in Beijing are often overcrowded, with long waiting period and long line-ups. One should also note that the air pollution is a significant concern for both locals and expatriates in China. The health impacts of that pollution will impact the health of expatriates in Beijing and having medical coverage and preventative healthcare is critical.

Private hospitals and clinics are also available in Beijing. These private medical facilities usually have English speaking doctors and medical staff. Some of them are even expatriates from western countries. High end private international clinics such as Beijing United Family Hospital are one of the options for many foreigners. Such private medical firms are able to provide faster medical appointments and urgent medical treatment. Many private international clinics offer direct billing with global insurance companies, which is very convenient for expatriates living and working in Beijing. Therefore, most expats in Beijing would want to choose the city’s private medical centers.

The High Cost of Medical Care in Beijing & the Rest of China

Like most of China, private health treatment has become extremely expensive in Beijing, even rivaling the United States. Even at public hospitals with special foreign or VIP departments, medical costs are rising, according to recent reports. For example, an uncomplicated birthing procedure at private international clinics Beijing United Family Hospital costs between over $13,000 USD. The cost of one standard private hospital room can be thousands US dollar per night. In case of medical emergency, the costs are estimated to double or triple. Without an appropriate medical coverage plan, expatriates could end up with paying tens of thousands of US dollars or even more.

expat healthcare if critical

Why International Health Insurance Is Critical For Expats In Beijing? 

Many expats working in Beijing may qualify for the local public health insurance system. However, the public health insurance plans does not meet most expat needs, especially if you want to get treated at a private facility or outside of China. As noted above, medical treatment fees in Beijing are relatively high and expats may find that they still need to pay a certain amount of co-payment when go to public hospitals.

For expats who prefer private hospitals and clinics, it is critical to obtain an international health insurance plan. A typical international health insurance plan will provide coverage options such as hospital coverageoutpatient treatment, medical emergency evacuation, routine health check-ups, dental & vision care and US coverage options. It will help you maintain your health and avoid financial risks while working and living in Beijing. It is also very important to have an international health insurance plan that provides international emergency evacuation and repatriation coverage. 

International Group Insurance Plans For Expatriate Employees in Beijing

While we can source individual medical plans for expats in Beijing and the rest of China, Expatriate group insurance plans are critical for international employers who wish to open an office in Beijing or already have expat employees there. An international group insurance plan for expats in Asia will usually include life insurance, health insurance, dental, evacuation and disability insurance to expatriate employees and even some key local nationals. It will not only protect expatriate employees in Beijing, but also will protect employer’s business as providing medical coverage is a key fiduciary responsibility. The international expat group insurance plans can be tailored to meet the needs of your employees working in Beijing so that your business objectives can be achieved. It is critical that that a global benefit plan cover pre-existing medical conditions and provide easy access and direct payment to the hospitals in the city and the rest of China. 

Get Insurance From Expat Financial for Beijing Expats

Expat Financial offers independent advice, solutions and ongoing service and support to clients around much of the world and we have extensive experience in sourcing medical cover for individual expats and expat employers in Beijing and the rest of China. We can source plans from large and secure global insurance companies with excellent global service and support. Our firm can offer a wide array of individual expat health insurance plans for expats China and even Chinese expatriates living overseas. If you have questions about our international medical insurance plans and expatriates group insurance plans or you want to discuss your needs and produce a customized quote, please contact us or complete the quote form. We look forward to hearing from you soon.