Your trusted partner
for international
health insurance
MSH Americas at a glance
A subsidiary of the global DIOT SIACI Group, a worldwide insurance brokerage with more than 7,000 employees across the world, MSH Americas has been managing international insurance solutions since 1974. We support over 3 million members across diverse industries and regions, delivering reliable health, travel, and employee benefits solutions.
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Core Operational Strengths That Set Us Apart
We deliver seamless, end-to-end support through in-house medical assistance, claims administration, and a managed provider network. As one of Canada’s largest TPAs with a global footprint, we ensure 24/7 member care backed by compliance standards and SOC 2 certification – all powered by integrated teams under one roof.
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Dedicated Focus on Key Markets
We specialize in supporting expats, international students, and travelers with tailored solutions. Our expertise spans cross-border care, cultural nuances, and transition support—helping newcomers adapt seamlessly to new healthcare systems.
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Client & Partner Support
We provide dedicated account management for day-to-day needs and escalations, backed by a Business Excellence team focused on service quality. Our agent and broker network benefits from specialized onboarding tools, while tailored plan designs strengthen relationships with institutions, employers, and global partners.
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Innovation & Efficiency
We drive continuous improvement through advanced case management, cost containment strategies, and digital tools for clients and members. Our integrated approach—powered by data-driven analytics and collaboration across IT, PMO, and Operations—ensures efficient program delivery and superior outcomes.
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Member Experience
We prioritize a member-first approach with multilingual support, empathy, and cultural awareness. Our programs include mental health and wellness initiatives, alongside specialized offerings like Comprehensive+ and SHAS/SHAS—ensuring care that goes beyond coverage.
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Market Advantage
With over 40 years of experience in international health insurance, we are trusted by leading institutions across North America. Known for seamless onboarding and proven scalability, we deliver confidence and reliability for large client populations.
A subsidiary
of the DIOT-SIACI Group
The DIOT-SIACI Group is one of the European leading providers of brokerage and consulting services in the insurance market. The DIOT-SIACI Group designs and develops customized solutions for its corporate clients.
Comprehensive assistance to manage your risks
The group assists its large, mid-cap and SME corporate clients over the entire value chain to manage their risks in Property and Casualty, Marine and Cargo, Employee Benefits, Retirement, Employee Savings, Total Rewards and International Mobility.
A Leading Group with Impressive Key Figures
The DIOT-SIACI Group has over 6,000 employees worldwide, insures 5 million individuals and reported turnover of €905M in 2023. DIOT-SIACI ranks n°1 for Group Health & Life (France), Group Pension Plans (France), Marine Logistics & Supply chain (France) and Jewelry and Diamonds (France).
Recognized Financial Strength
The DIOT-SIACI Group has robust financial strength and prestigious shareholders. The composition of the shareholding is as follows: 54.23% by the BURRUS GROUP and the Management, 28.81% by Ontario Teachers’ Pension Plan Board, 9.29% by Bpifrance, 4.86% by Cathay Capital and 2.81% by the Mubadala Investment Company and Ardian.
MSH Americas Key Figures
+60
Nationalities
+50
Languages Spoken
+700k
Insured Members in 193 Countries
+7,000
Corporate Clients across the world
+3M
Insured Members Served Across Canada
+900 M€
Effective and large-scale annual reimbursements
+1,400
MSH employees
+6,000
DIOT-SIACI employees
Building confidence for over 50 years
PREVINTER
Formed in 1974, MSH initially set out to provide support to the globally-mobile employees of large French businesses through the delivery of dedicated group insurance solutions (Previnter).
ASFE
We acquire OCI-ASFE and start offering insurance solutions to individuals living outside their country of origin.
We acquire European Benefits Administrators, the specialists in third-party administration of benefit plans for internationally mobile employees and offer new services to international companies with self-insured plans, insurance professionals wishing to outsource the management of their plans and local populations in countries where the healthcare system is inadequate.
Dubaï
The enterprising creation of MSH DUBAI in the United Arab Emirates allows the company to cover the whole of the Middle East and Africa.
Canada
With the globalization of economies, people and trade, MSH diversifies its worldwide presence through the acquisition of Norfolk Mobility Benefits, a Canadian company based in Calgary providing the same service across the American continent.
China
Shanghai Tai Kai is purchased and renamed MSH CHINA to take responsibility for the Asia-Pacific zone.
Singapore
MSH reinforces its position in Asia with the acquisition of Expat Insurance.
Germany & Canada
MSH enters the IPMI market in Germany with the acquisition of BDAE and strengthens its position in the Americas with the acquisition of Imagine and Intrepid 24/7 in Toronto.
Tunisia
MSH opens a regional headquarters in Tunis to support its local customers in their local development, thus consolidating its presence as a major player in the Middle East and Africa.
Malaysia
MSH opens a regional headquarters in Kuala-Lumpur (Malaysia) to support its local customers in their local development, thus consolidating its presence as a major player in South-East Asia.
Grouped together under the name MSH, we have covered over 700,000 lives worldwide and are now supporting a new generation of global citizens out of our 6 regional head offices in Toronto, Paris, Tunis, Dubai, Kuala Lumpur and Shanghai.
Our Values
Entrepreneurship
The innovative spirit of our founders inspires everything we do.
Excellence
Our goal is to guarantee you the best possible customer experience.
Trust
We’re there for you in difficult times.
Collective
We join forces to support you.
2023 gender equality index
36/40
Gender salary gap
20/20
Gender salary raise gap
15/15
Gender promotion gap
15/15
Percentage of employees increased upon return from maternity leave
0/10
Number of employees of the under-represented sex among the 10 highest paid