Written by
John Spencer
John Spencer is the founder of Compare Expat Plans, where he focuses on helping people compare health plans for life abroad. He emphasizes clear information, neutral analysis, and practical decision support.
Quick Verdict
Market Leader
Cigna Global
Most corporate expats are on Cigna. Best HR tools. Easiest transition to individual if you leave.
Get Cigna QuotePremium Service
Bupa Global
Premium corporate plans. Excellent continuation options. Lifetime renewal when you convert.
Get Bupa QuoteValue Option
Allianz Care
Growing in corporate market. Best value for group plans. Good continuation path.
Get Allianz QuoteMost corporate expats end up on Cigna, Bupa, or Allianz through their employer. All three offer excellent group plans with MHD (Medical History Disregarded) coverage. When you leave your employer, all three offer continuation paths to individual coverage.
Side-by-Side Comparison
| Feature | Cigna Global | Bupa Global | Allianz Care |
|---|---|---|---|
| Corporate Market Share | Largest | Second | Third |
| Group Plan Quality | Excellent | Excellent | Very Good |
| Individual Continuation | Yes | Yes | Yes |
| Pre-existing Coverage | MHD available | MHD available | MHD available |
| HR Admin Tools | Best | Good | Good |
| Employee App | Excellent | Good | Good |
| Network Size | Largest | Large | Large |
| Best For | Most corporates | Premium service | Value groups |
Cigna Global
Cigna Global dominates the corporate expat market. More multinational employers use Cigna than any other insurer. For employees, this means excellent benefits, the best mobile app, and an easy path to individual coverage if you leave your employer.
Why employers choose Cigna:
- Best HR administration tools
- Largest global network
- Excellent employee experience
- Strong claims data and reporting
- Recognized brand globally
- Scalable for any company size
What employees get:
- MHD coverage (pre-existing conditions covered)
- Best mobile app in the industry
- Fast claims processing
- 1.5M+ provider network
- Continuation option when leaving
Best for: Corporate expats at multinationals. Those who want the most seamless experience. Anyone who might transition to individual coverage later.
Bupa Global
Bupa Global is the premium choice for corporate expat coverage. Companies choose Bupa for executive packages and when employee experience matters most. The standout feature: excellent continuation coverage with lifetime renewal when you convert to individual.
Why employers choose Bupa:
- Premium positioning
- Excellent customer service reputation
- Strong in UK, Europe, Asia markets
- Good for executive packages
- Flexible plan design
What employees get:
- MHD coverage typically included
- Premium customer service
- Excellent continuation options
- Lifetime renewal on conversion
- Strong network globally
Best for: Executive expats. Those who value service over cost. Anyone planning to convert to individual coverage and wanting lifetime renewal guarantee.
Allianz Care
Allianz Care is gaining corporate market share by offering competitive pricing without sacrificing coverage quality. For cost-conscious employers who still want comprehensive benefits, Allianz delivers value. Employees get solid coverage with a good continuation path.
Why employers choose Allianz:
- 15-20% cheaper than Cigna/Bupa
- Comprehensive coverage included
- Strong European presence
- Backed by major insurer
- Good HR tools
What employees get:
- MHD coverage available
- Best mental health benefits
- Solid network coverage
- Continuation option available
- Moratorium option on conversion
Best for: Employees at cost-conscious companies. Those who value mental health coverage. European-based corporate expats.
Leaving Corporate Coverage?
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Corporate vs. Individual: What's Different?
| Feature | Corporate/Group | Individual |
|---|---|---|
| Pre-existing conditions | Usually covered (MHD) | Underwritten |
| Pricing | Employer subsidized | Full cost to you |
| Underwriting | Often waived | Required |
| Plan choice | Employer decides | You choose |
| Continuation | Ends with job | Yours forever |
| Family coverage | Depends on plan | Always available |
MHD: Medical History Disregarded
The biggest advantage of corporate coverage: MHD means all pre-existing conditions are covered from day one. No underwriting, no exclusions. This is huge if you have health conditions—and something you lose if you transition to individual coverage without continuation options.
What You Give Up Going Individual
- MHD coverage: Pre-existing conditions may be excluded or underwritten
- Employer subsidy: You pay the full premium yourself
- Group rates: Individual rates are typically 10-20% higher
What You Gain Going Individual
- Portability: Coverage stays with you regardless of employment
- Choice: You pick the plan that fits your needs
- No job dependency: Never worry about losing coverage
Transitioning from Corporate to Individual
Continuation Options
All three insurers offer continuation paths when you leave an employer:
- Cigna: Continuation coverage available—may preserve some benefits
- Bupa: Best continuation—can often preserve MHD, lifetime renewal included
- Allianz: Continuation available, moratorium option helps cover pre-existing
Timing Matters
Don't wait until your corporate coverage ends. Start the transition:
- 60-90 days before your employment ends
- While you're still covered (no gap)
- Before any new conditions develop
If You Have Pre-Existing Conditions
This is critical. If you developed conditions while on corporate MHD coverage:
- Contact your insurer about continuation options FIRST
- Ask specifically about preserving coverage for existing conditions
- Bupa's continuation often includes conditions from your group plan
- Get continuation terms in writing before your group plan ends
Which Is Best For You?
Cigna Global is best if...
- You're already on Cigna through your employer
- You want the best digital experience
- You travel frequently globally
- You want easy continuation when leaving
- Network size matters to you
- You're at a large multinational
Bupa Global is best if...
- You have pre-existing conditions to protect
- You want the best continuation options
- Lifetime renewal matters to you
- You're an executive with premium needs
- You value customer service highly
- You're planning to convert to individual soon
Allianz Care is best if...
- Your employer prioritizes value
- Mental health coverage matters to you
- You're based in Europe
- You want good coverage at lower cost
- Moratorium option appeals to you
- €3M coverage limit is sufficient
Frequently Asked Questions
My employer chose my insurance—can I change it?
Usually no. Employers contract with one insurer for all employees. You can sometimes opt out and get your own insurance, but you lose the employer subsidy. Most people stay on the employer plan and get individual coverage when they leave.
What happens to my coverage if I get laid off?
Coverage typically ends when employment ends—often at the end of the month. Some employers offer COBRA-like continuation for a few months. Contact HR immediately to understand your timeline and options.
Can I keep my pre-existing condition coverage?
Sometimes. Bupa has the best continuation options that may preserve MHD coverage. Cigna and Allianz offer continuation but may require underwriting. Start the conversation with your insurer 60-90 days before leaving.
Is individual coverage much more expensive?
Yes. Expect to pay 100% of the premium yourself (vs. employer typically paying 70-100%). Plus individual rates are usually 10-20% higher than group rates. Budget for $300-800/month for individual comprehensive coverage.
Should I switch insurers when going individual?
Consider staying with the same insurer if you have health conditions—continuation is easier. If you're healthy, shop around; you may find better value elsewhere. Conditions that developed on your group plan become pre-existing for new insurers.
What about my spouse/family on my corporate plan?
Your dependents face the same transition. When your employment ends, their coverage ends too. Consider family individual coverage from the same insurer for easiest transition, or shop family plans from all three.
Disclaimer: Corporate plans vary significantly by employer contract. This comparison covers general patterns. Check your specific plan documents and talk to your HR department about your coverage details and continuation options.