Underwriting
  • Research and White Papers
  • December 2024

RGA Brief: Latest foreign risk study highlights need for ongoing monitoring and adaptation

By
  • Melissa Gallegos
  • Kaitlyn Fleigle
  • Julianne Callaway
Skip to Authors and Experts
A woman on the phone with a red suitcase at the airport
In Brief

Foreign travel and residency risks exist everywhere but at varying degrees by geography, and insurers recognize the need to maintain an awareness of these potential risks. RGA continually monitors a country’s relative risk level using a proprietary model with 26 variables and reports the findings to better inform clients.

Key takeaways

  • Understanding potential hazards in different countries is an important consideration for insurers when assessing risks associated with traveling to or living in a foreign land.
  • RGA conducts ongoing monitoring of foreign risks and provides a comprehensive study that assesses each country’s relative risk level.
  • COVID-19 precipitated the need to consider how a country can address and manage a pandemic, which led to RGA’s decision to include the Global Health Security Index as an indicator in the 2024 analysis.

 

These risks vary by geography. Understanding the potential hazards that exist in different countries is an important consideration for insurers when assessing risks associated with traveling to or living in a foreign land.

Insight from RGA

Global change necessitates ongoing monitoring of foreign risks. For this reason, RGA observes and evaluates foreign risks and produces a study every two years for its clients. Using a proprietary model, each country’s relative risk level is measured through 26 variables.

The variables cover a range of factors which could impact mortality, such as economic conditions, health-related factors, and environmental considerations.

A few examples include:

  • Road density
  • Safe drinking water and sanitation
  • Military conflicts
  • Corruption
  • Hospital bed availability

RGA’s report is updated with the most recent data available for each variable at the time of the study to reflect any potential changes to the risk environment within each country.

A look back

What’s past is prologue, or so Shakespeare’s The Tempest teaches us, and this certainly applies to foreign risk assessment. In general, an examination of a risk over time enables a deeper understanding of its symptoms and how they may evolve. It can also help identify when a variation of a risk may emerge. How a country managed a particular risk can help address similar incarnations in the present or future.

Since 2020, a spotlight has been cast on a worldwide risk – the threat of pandemics and epidemics. The mass disruption from the COVID-19 global pandemic and how different countries addressed it emphasized the importance of this factor when assessing foreign risks.

The current view

The COVID-19 pandemic influenced RGA to make changes to the foreign risk analysis. The 2024 study introduced a new indicator, utilizing data from the Global Health Security (GHS) Index. RGA’s intent for this new inclusion was to provide insight into a country’s infrastructure for preparedness and its ability to handle an epidemic or pandemic.

Through its examination of 195 countries, the GHS Index states that it “benchmarks health security in the context of other factors critical to fighting outbreaks, such as political and security risks, the broader strength of the health system, and country adherence to global norms.”1

The GHS Index is comprised of six categories in which countries are scored:

  1. Prevention
  2. Detection and reporting
  3. Rapid response
  4. Health system
  5. Compliance with international norms
  6. Risk environment

All data is scored on a scale of 0 to 100, with 100 indicating the best health security conditions. Below are the overall scores for the top five and bottom five countries from the GHS Index.

Figure 1: GHS Index overall score

GHS Index table for overall score

 

These scores provide additional insight into the relative preparedness of each country to respond to a future pandemic or epidemic.

Conclusion

Mortality risks vary tremendously by geography. RGA’s ongoing monitoring and comprehensive risk analysis provide vital information that enables insurers to better evaluate underwriting decisions for various geographies.


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Meet the Authors & Experts

Melissa Gallegos
Author
Melissa Gallegos
Executive Director, Underwriting, US Individual Life
Kaitlyn-Fleigle
Author
Kaitlyn Fleigle
Actuary, Strategic Research, Global Actuarial Pricing and Research
Julianne Callaway
Author
Julianne Callaway
Vice President and Senior Actuary, Strategic Research, Global Actuarial Pricing and Research

References

  1. Global Health Security Index, https://ghsindex.org/