The Cayman Islands remain one of the leading jurisdictions for captive insurance in the world, with total assets equalling US$123 billion.
Since 1979, the jurisdiction has become a major centre for international insurance business. The Cayman Islands is the second largest domicile for captives and holds the number one position worldwide for healthcare captives. The Cayman Islands is also a leading jurisdiction for group captives and ILS. The international insurance industry here is primarily made up of companies insuring risks in North America, representing about 90% of the market. As of the 31st March 2025, the total number of Class B insurers (including captives) in Cayman was 674, with 19% of them in total being Medical Malpractice Liability captives. However, the largest line of business now proves to be Workers’ Compensation, with 153 licensees or 23% of Class B insurers. The value of the total assets for Cayman’s Class B Insurers (which includes Group and Pure captives) was approximately US$123 billion, with US$31.8 billion in total premiums as of Q1 of 2025.
Between the 2 – 4 December 2025, the Insurance Managers Association of Cayman (IMAC), will host the world’s largest captive insurance forum, the Cayman Captive Forum at the Ritz-Carlton in Grand Cayman. In 2024 the Cayman Captive Forum attracted a record attendance with over 1,500 delegates from captive owners, insurance professionals, service providers and government officials. Last year’s highlights included keynote speeches by Anthony Robles and the then Deputy Premier (now Premier) and Minister for Financial Services, the Hon. André Ebanks, along with updates from CIMA and sessions on emerging trends AI, ESG, the Importance of Diversity in your Captive and risk management. The Cayman Captive Forum clearly provides an unparalleled networking event and an introduction for those with an interest in captives, whether onshore or offshore.