Friday, January 9, 2026

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Domicile Wars: Cayman business diversifying, healthcare remains popular  


  • Group captives expected to flourish, particularly in medical stop loss 
  • New B(iv) and MGA licences likely to be introduced in 2026 
  • Growing interest from non-traditional sources such as Canada and Australia

Long established as the premier domicile for healthcare captives, the Cayman Islands is now broadening its reach. 

Consolidation in the healthcare market has resulted in less demand from the historically popular sector, though sustained and rising interest from group captives, reinsurers, MGAs, and ILS transactions is broadening the jurisdiction’s scope and reinforcing its role as a global captive and (re)insurance hub. 

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