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ISA is part of Ryan Specialty National Programs, which launched last month.
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Rouse was promoted to co-global placement leader last October.
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The two internal hires have been with BHSI for around five years.
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Technical pricing is insufficient in some areas and inflation is biting into margins.
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It is understood that Marsh brokered the tower, which is exposed to claims from a 2024 breach.
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The deal had HSR approval and was waiting on approval from the UK.
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The broker adds a new EVP and new president to its benefits practice.
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The investment recovery will be welcome but Chinese tariffs will contribute to loss-cost inflation.
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The medical CPI is up 3% for the last 12 months.
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A positive outcome could significantly curb insurers’ exposure to the loss.
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The appointments cover US casualty, the US Central region and construction.
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The announcement spurred a quick spike in stock market valuations.