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Health insurance is growing in prominence in Africa as more international insurers enter the various markets to compete with the existing local insurers. This talk will provide high level insight to the current situation, from the challenges of navigating the sometimes volatile macro-economic environments to the typical benefits covered and the range of healthcare services available in different countries. For actuaries accustomed to more regulated healthcare environments, the talk will also discuss some of the broader challenges of operating in an environment with limited (if any) formal structure.