Colombia’s healthcare system is undergoing reform to strengthen universal access and reduce the role of private intermediaries, which has triggered a structural crisis in service delivery. If this crisis persists into 2026, private insurers offering health plans and complementary covers may face rising demand, leading to higher premiums and affordability challenges. At the same time, deficiencies in the public system are expected to increase litigation risk, with insurers exposed through professional liability, errors and omissions, and even D&O policies covering healthcare providers and administrators. The growing trend of litigation in health-related disputes will intensify this exposure. Insurers will need to carefully balance reputational risks from operating in a politically sensitive sector with the opportunities created by sustained demand for supplemental health products among wealthier Colombians.