MSH International

What MSH International does

MSH International is a France-headquartered international health insurance broker and third-party administrator that designs, distributes, and manages health and life-and-disability coverage for globally mobile populations. Founded in 1974 and operating as a wholly-owned subsidiary of the Diot-Siaci insurance brokerage group, MSH serves individual expatriates, students, working-holidaymakers, multinational corporate clients, international organizations and NGOs, brokers, and TPA insurer partners through offices in Paris, Dubai, Abu Dhabi, Calgary, Toronto, Tunis, Shanghai, and Kuala Lumpur. The company acts as an intermediary between risk-bearing carriers (AXA, Allianz, Groupama Gan Vie, Chubb) and policyholders, placing group and individual plans and administering claims.

The product portfolio spans individual lines (First'Expat+, neoStudents, neoPVT/neoWHV, neoExplore, neoTempo, Start'Expat, Relais'Expat+, LifePlan'Expat, Vivexpat in MENA) and corporate and IGO lines (LivExpat Group Plans, Group & Employee Plans for 50+ lives, ASO plans, Business Travel Plans, customizable group plans, Previnter group schemes, and TPA services). The underlying platform combines a member-facing mobile application (provider geolocation, photo-based claims submission, digital member card, teleconsultation, multilingual 24/7 service), a 1.8+ million-provider global medical network with direct-billing arrangements, and add-on digital health services including online physical therapy (developed with Axomove and Groupama Gan Vie, launched November 2025) and the Caring by Eutelmed mental health prevention platform. MSH Americas additionally operates under ISO 27001 and SOC 2 Type 2 certifications.

The business model is commission-based: MSH earns brokerage and administration fees on insurance premiums underwritten by carrier partners, with revenue tied to recurring policy renewals across a 700,000+ member base. Distribution is multi-channel — direct sales via regional websites and field teams, broker and intermediary networks, affinity partnerships (UFE, Previnter), and carrier partnerships — and is segmented across individuals, corporate clients, and international organizations. Pricing is quote-based and tailored to coverage level, geography, and group size, with no public price list. The company is regulated by ACPR in France, DFSA in DIFC, CBUAE in the UAE, and provincial authorities across Canada, and is registered with ORIAS.

Name

MSH International

Legal name

MSH International

Website

https://msh-intl.com

Company type

Private

Founded year

1974

Operating status

Operating

Headcount range

501–1,000 employees

Short description

MSH International is a French-based international health insurance broker and administrator serving globally mobile individuals, corporate clients, NGOs, and insurers across six regional hubs, distributing and administering carrier-underwritten health plans through a 1.8M+ provider network.

Ownership category

akta.pro rank

Product category

International Health Insurance

NAICS

Insurance Agencies and Brokerages (524210), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Agencies, Brokerages, and Other Insurance Related Activities (5242)

SIC

Accident & Health Insurance (6321), Insurance Agents, Brokers & Service (6411), Hospital & Medical Service Plans (6324)

akta.pro primary industry

International / Expatriate Group Health Plans (FSAIAFAJ)

akta.pro secondary industries

International/Expatriate Individual Health Insurance (FSAIAEAH), Individual Health Insurance Administration (TPA/ASO) (FSAIAEAK), Managed Care / Network-Based Group Health Plans (Carrier Network Products) (FSAIAFAO)

Keywords

• International health insurance
• Expatriate health coverage
• Insurance brokerage services
• Third-party administration
• Globally mobile employee benefits

Headquarters

HQ city

Paris

HQ country

France

HQ region

Europe

Offices7 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales

Revenue model

1. International Health Insurance Premiums: MSH generates revenue through insurance brokerage fees on health and life & disability insurance premiums collected from individuals and corporations for international coverage. The company acts as an intermediary between insurance carriers (AXA, Allianz, Groupama Gan Vie) and policyholders, earning commissions on policies sold and managed.

Go-to-market motion3 records

Distribution channels5 records

Marketing channels5 records

Core offering

MSH International designs, manages, and distributes international health insurance solutions for expatriates, students, working holiday makers, globally mobile corporate employees, and international organizations. The company acts as an insurance broker and third-party administrator, partnering with carriers such as AXA, Allianz, Groupama Gan Vie, and Chubb, and delivering administration, claims management, provider network access (1.8M+ providers), 24/7 multilingual support, and digital services (mobile app, teleconsultation, e-health add-ons) to insured members worldwide.

Product overview

MSH International is a platform-based international health insurance provider offering a comprehensive suite of products across multiple segments: individual expatriates (First'Expat+, neoStudents, neoPVT, Relais'Expat+, Start'Expat, neoTempo, LifePlan'Expat, neoExplore), corporate clients (Business Travel Plans, LivExpat Group Plans, Group & Employee Plans, ASO Plans, Customizable Group Plans), and TPA services for insurance companies. The portfolio is unified by core digital infrastructure including a mobile application with provider geolocation and claims processing, a 24/7 multilingual service center, teleconsultation services, and a global network of 1.8+ million healthcare providers. Add-on services include physical therapy (via Axomove partnership) and mental health support (Caring by Eutelmed).

Differentiator

Problem solved

Functional benefit

Brands

• First'Expat+: International health insurance for individuals expatriating for 1 year or more with a well-defined project
• neoStudents
• neoPVT/neoWHV
• neoExplore
• neoTempo
• Start'Expat
• Relais'Expat+
• LifePlan'Expat
• Vivexpat
• Canuck Voyage
• Discover Canada
• LivExpat Individual
• LivExpat Group Plans
• Group & Employee Plans
• Business Travel Plans
• MSH All Staff Health Check-Up

Products and services

• First'Expat+ International health insurance for individuals going abroad for 1 year or more with a well-defined project. Targets individual expatriates seeking comprehensive medical coverage abroad.
• neoStudents International health insurance for students going abroad for academic courses. Covers emergency medical expenses, assistance/repatriation, baggage coverage, third-party liability, personal accident and travel incidents.
• neoPVT/neoWHV International health insurance for working holidaymakers under the Working Holiday Program (PVT/WHV), covering emergency medical expenses, repatriation, baggage, third-party liability, and personal accident.
• Relais'Expat+ International health insurance complementing CFE (Caisse des Français de l'Étranger) benefits for those going abroad for 1 year or more. Targets French expatriates with basic CFE coverage seeking additional protection.
• Start'Expat International health insurance for people aged over 36 who are going abroad for several months. Designed for short-duration expatriate assignments.
• neoTempo International health insurance for expatriates who want to try living abroad before making their project a reality. Designed for trial/test periods abroad.
• LifePlan'Expat Comprehensive international health insurance for expatriates who plan every detail of their move abroad. Offers the highest level of coverage within MSH's individual product range.
• neoExplore International health insurance for adventurers under 36 exploring the world, including au pair, volunteering, and tourism coverage. Targeted at the youth mobility segment.
• Vivexpat International health insurance for individuals living and working in the GCC and MENA regions. Tailored for the Middle East market.
• Business Travel Plans Flexible emergency medical coverage with no medical underwriting, annual invoicing, and blanket coverage for organizations of all sizes. Targets businesses with traveling employees.
• LivExpat Group Plans Group health insurance designed for organizations with 1 to 50 employees living and working abroad. Targets SMEs and mid-market companies.
• Group & Employee Plans (50+ Lives) Flexible travel and health insurance for organizations with 50+ employees on the move internationally. Designed for mid-cap and large enterprises.
• Customizable Group Plans Fully insured group plans adapting locally, complying globally, with globally consistent benefits and budget protection. Targets multinational corporations and key accounts.
• ASO (Administrative Services Only) Plan Plan allowing groups to pay only for actual claims while MSH handles flexible benefits and administration with stop-loss protection. Targets self-funded employers.
• Third Party Administrator (TPA) Services

Quantifiable outcome

• Emergency medical coverage in destination country, France (up to 30 days), and worldwide (up to 90 consecutive days)
• +2 more outcomes

Named customers3 records

Segments6 records

Ideal customer profiles5 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability5 records

Feature5 records

Partnerships

Eleven partnerships are on record, tiered minor, strategic and core.

• Groupama Gan Vie (additional partnership)minorStrategic or Co-development Partner · 27 November 2025Partnership with Groupama Gan Vie and Axomove to develop and support the online physical therapy service as part of MSH's expanded e-health offering.
• Union des Français de l'Étranger (UFE)strategicGTM or Marketing Partner · 26 September 2025Strategic partnership to offer French citizens living abroad tailored, flexible health coverage. UFE members benefit from 24/7 assistance, multilingual teams, exclusive services like international teleconsultations, global healthcare network access, and extended coverage with enrollment possible until age 76 (starting 2026).
• AXA (AXA Assistance)coreStrategic or Co-development PartnerAXA is a world leader in healthcare and life & disability insurance protecting 105 million customers in 54 countries. Preferred partner of MSH for over 45 years, AXA carries the risk for healthcare and life & disability group plans as of the 1st Euro or 1st USD and as complementary coverage to CFE, as well as individual plans.
• AllianzcoreStrategic or Co-development PartnerGlobal insurer covering all insurance needs of 100 million customers in over 70 countries. Carries risk for healthcare and life & disability group plans as of the 1st Euro or 1st USD and as complementary coverage to CFE.
• Groupama Gan ViecoreStrategic or Co-development PartnerLife insurance subsidiary of Groupama Group with 4.2 billion euros in revenue (2020). Carries risk for healthcare and life & disability individual plans as of the 1st Euro or 1st USD and as complementary coverage to CFE.
• ChubbminorStrategic or Co-development PartnerLeading listed P&C insurer worldwide with offices in 54 countries and 31,000 employees. Chubb carries risks for Third-party liability of MSH's group and individual packaged plans.
• Europ'AssistancecoreStrategic or Co-development PartnerCreator of the assistance business, operating worldwide 24/7 and 365 days a year. Provides Medical evacuation and Repatriation assistance for MSH's group and individual packaged plans.
• International SOScoreStrategic or Co-development PartnerGlobal leader in medical assistance and security for expatriate staff with 80,000 partner network worldwide. Provides medical assistance and security services for MSH's key accounts group plans.
• AXA AssistancecoreStrategic or Co-development PartnerGlobal leader in assistance active in 34 countries performing over 13,000 repatriations per year. Provides medical assistance and security services for part of MSH's key accounts group plans.
• Previnter AssociationcoreStrategic or Co-development PartnerIndependent association promoting and administering benefits for globally-mobile employees of member companies. Since 1974, Previnter has provided innovative group insurance solutions for health, life & disability, assistance, and retirement. MSH designs and manages health and life & disability insurance solutions for the Association.
• Diot-Siaci GroupcoreOthersParent company of MSH International. MSH is a subsidiary of Diot-Siaci, a major French insurance brokerage and risk management group.

Scale indicators6 records

Recent moves7 records

Expansion highlights6 records

Direct peers

• Cigna Global Health: Cigna's international health insurance division serves expatriates and globally mobile individuals with comparable products across 200+ countries. It is the largest direct competitor in the international PMI (private medical insurance) space and competes with MSH for both individual expats and multinational corporate accounts.
• Bupa Global: Bupa Global specializes in international health insurance for individuals and corporate groups, serving customers in over 190 countries. Like MSH, it focuses on the expatriate and globally mobile segment with comparable product ranges, multilingual service, and direct-billing provider networks.
• Allianz Care: Allianz Care is the international health arm of Allianz Partners, offering health, life, and disability insurance for expatriates and corporate clients worldwide. It is both a core MSH carrier partner and a direct competitor via its own distribution channels, particularly for large corporate accounts.
• AXA Global Healthcare: AXA Global Healthcare is the international health insurance division of AXA, providing PMI to individuals and corporate groups. As MSH's longest-standing carrier partner (45+ years), AXA competes directly with MSH through its own distribution while also relying on MSH as a key distribution intermediary.
• GeoBlue: GeoBlue provides international health and travel insurance primarily for U.S. expatriates and travelers, leveraging Blue Cross Blue Shield provider networks. It is a direct competitor in the North American expatriate market where MSH Americas operates, with comparable products like Discover Canada and emergency travel coverage.
• Now Health International: Now Health International is a specialist international health insurer focused on individual expatriates and SME/corporate groups across Asia, the Middle East, and Europe. Its product set, digital-first service model, and target customer closely mirror MSH's individual expatriate offerings.
• William Russell: William Russell provides international health, life, and income protection insurance for individuals, families, and corporate groups in 160+ countries. It is a comparable specialist in the expatriate PMI market with similar product architecture (individual plans + group plans) and digital service capabilities.
• April International: April International is a French-headquartered specialist in international health, travel, and expatriate insurance with strong presence in Europe, Asia, and the Middle East. It directly competes with MSH in similar expatriate and corporate mobility segments and shares French market origins.

Broad incumbents

• Aetna International (CVS Health): Aetna International, part of CVS Health, is one of the largest international health insurers serving globally mobile employees of multinational corporations. It competes with MSH on large corporate accounts while offering broader domestic U.S. capabilities that MSH does not — making it a broad incumbent rather than a direct specialist peer.

Others

• International SOS: International SOS is a global leader in medical assistance, security services, and travel risk management for corporate globally mobile employees. It is both an MSH partner (providing medical assistance to key accounts group plans) and a comparable player in the broader expatriate employee services ecosystem, though its primary business is assistance rather than insurance brokerage.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCOv00hada5u3c-E22aPZtEQ
• Facebookfacebook.com/MSHInternational
• LinkedInlinkedin.com/company/msh-mena

Compliance7 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles9 records

Subsidiaries4 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about MSH International