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Nexus Underwriting Expands Medical Tourism Capabilities with Sure Services Acquisition

January 14, 2026

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Nexus Underwriting has secured Sure Insurance Services, a leading specialist in medical travel insurance, thereby significantly enhancing its footprint within the health tourism and cross-border healthcare markets.

Strategic Integration

Founded in 2003 by Alison Thornberry, Sure provides essential medical travel insurance programs across the UK, Australia, and South Africa. This entity will now be part of Millstream Underwriting, a Nexus subsidiary since 2015. Alison Thornberry and her team will maintain their roles under the leadership of Millstream's Managing Director, Rob Amati. This acquisition aligns with Nexus’s disciplined strategy of integrating niche MGAs.

Rob Amati, Millstream Underwriting's Managing Director, expressed his satisfaction: "We are very pleased to welcome Alison and the Sure team into Millstream and the wider Nexus family. Sure is a highly respected specialist MGA with a strong track record in medical travel insurance, which will support our mission to deliver quality underwriting and claims services to our brokers and policyholders as well as long-term profitable results for our capacity providers."

Alison Thornberry, from Sure Insurance Services, shared her enthusiasm for the future: "I’m incredibly proud of what we have built at Sure over the past two decades, and I’m delighted that joining Nexus will allow us to further enhance our specialist medical travel and revisions offering, support our partners and drive our growth, while maintaining the same team, knowledge and service our customers rely on."

The deal received regulatory approval, with undisclosed financial terms. This follows the launch of Arrowhead Intermediaries, Nexus's parent brand.

Key Takeaways

  • Market Leadership: Nexus gains a prominent specialist in medical tourism insurance.

  • Operational Continuity: Alison Thornberry and her team remain, ensuring sustained expertise for international patients.

  • Expanded Reach: Coverage is enhanced across key healthcare destinations: the UK, Australia, and South Africa.

Read the full article here: https://claimsmag.co.uk/2026/01/nexus-acquires-medical-tourism-specialist-sure-insurance-services/

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