2026 MARKET TRENDS

International Benefits

Key Takeaways

  • Rising healthcare costs and persistent strain on public health systems continue to reshape international benefit strategies
  • Employers are increasingly focused on preventive care and well-being initiatives to address long-term health conditions
  • Mental health support remains a priority, with global EAPs offering consistent resources across diverse workforces
  • Growth in global business travel is driving stronger demand for travel protection and duty of care programs

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Overview

Common themes continue to emerge across international employee benefit markets. Competition for talent, rising healthcare costs, strained public health systems, increased expectations for flexibility and a stronger focus on mental well-being are reshaping employer-sponsored programs worldwide.

Medical Trend Averages by Region

GLOBAL


ASIA PACIFIC


LATIN AMERICA & CARIBBEAN


EUROPE


CANADA


MIDDLE EAST & AFRICA

Global inflation has eased in some regions, although it still influences renewal costs. Public healthcare systems are under growing pressure due to higher utilization and an increase in high-cost claims, especially in cardiovascular disease, cancer and mental health. These pressures are prompting employers to reassess benefit financing structures, including opportunities for cost sharing where appropriate. At the same time, organizations are placing greater emphasis on preventive care and well-being strategies to address serious, long-term health conditions.


Global attention to mental health remains strong, with employers looking for effective ways to support employees and their families. Employee Assistance Programs often show low utilization yet remain a meaningful component of broader well-being strategies. A global EAP also provides a consistent support structure across international workforces with cultural and language sensitivity and strict confidentiality standards.


Global business travel continues to rise, increasing the need for strong coverage for mobile workforces. Organizations seek to minimize risk while fulfilling duty of care obligations for traveling employees. Comprehensive travel insurance and assistance programs support access to medical care and critical services during domestic and international travel. This protection is especially important in high-risk regions where safety concerns remain elevated due to conflict, civil unrest and terrorism threats.


Strategies to help manage rising costs while supporting a positive employee experience include:

  • Promoting preventive care
  • Working with brokers and insurance carriers to educate employees on how to access and use benefits
  • Tailoring well-being offerings based on claims experience
  • Leveraging provider solutions to address chronic conditions
  • Evaluating cost-sharing opportunities

These trends are expected to continue through 2026 and may require closer evaluation of global benefit strategies and program designs.

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