
Executive Summary
Effective immediately, foreign nationals and dependents must present proof of valid health insurance when filing several types of immigration applications, including temporary and permanent residence applications, among others. Health insurance will be required for tourists starting February 5, 2018.
The situation
Effective immediately, foreign nationals and their dependents must provide proof of valid health insurance when submitting the following immigration applications:
- Temporary or permanent residence applications;
- Visa renewals;
- Transferring a visa to a new passport; and
- Local identification card (cedula) applications.
Health insurance will be required for tourists starting February 5, 2018.
Proof of insurance
Foreign nationals and dependents can provide proof of their health insurance coverage in one of three ways:
- Public insurance policy from Ecuadorian Social Security (IESS). Foreign nationals can choose to obtain insurance from the Ecuadorian Social Security agency. Public insurance certificates must also list dependents’ names. Alternatively, dependents must provide proof of their own insurance with their supporting documents.
- Private insurance plan from Ecuadorian company. Employers can choose to cover employees under a private plan. In this case, the employer must provide a letter signed by a legal representative of the company confirming the total coverage and listing the names of those individuals covered by the policy.
- International insurance. Foreign nationals covered by an international insurance policy must present a valid certificate from tjatheir insurance company confirming international coverage (this was updated in May 2018 to remove the need to validate the certificate at an Ecuadorian consulate, which in practice has been found not be to necessary).
Looking ahead
The government is still determining the law’s implementation details. Fragomen will provide updates on the new law.
This alert is for informational purposes only. If you have any questions, please contact the global immigration professional with whom you work at Fragomen or send an email to [email protected].
Explore more at Fragomen
Immigration analysis
Manager Konstantin Schmid provides a practical overview of Swiss citizenship routes, eligibility rules and common reasons applications are delayed or refused.
Media mentions
Manager Pierangelo D’Errico discusses how recent changes to Italy’s citizenship rules are affecting applicants with Italian ancestry.
Podcast
Director Laxmi Limbani discusses how women are shaping the global space sector, the barriers they face and what is needed to support a more inclusive space workforce.
Media mentions
Senior Manager William Diaz outlines how immigration changes in the US and UK may affect workforce planning and mobility for the games industry in 2026.
Media mentions
Partner Julia Onslow-Cole highlights how global mobility is becoming a strategic, board-level consideration requiring careful planning, compliance and workforce management.
Video
Director Fatima Aydin outlines Ireland’s roadmap for increasing minimum annual remuneration salary thresholds and the implications for employer workforce planning and compliance.
Video
In this episode of the Fragomen FC, Partner Rick Lamanna, Senior Manager Jake Paul Minster, Manager Gustavo Kanashiro and Manager Sergio Flores discuss how immigration systems across the Americas shape football mobility, compliance and cross-border movement throughout South America.
Blog post
Senior Associate Ruben Fiedler outlines the new employer information obligation under Section 45c of the German Residence Act, explaining when it applies, what employers must provide to third-country nationals recruited from abroad and the practical steps needed to ensure compliance from 1 January 2026.
Podcast
Partners Cosmina Morariu and Rahul Soni examine how immigration and global mobility trends are influencing workforce strategy across the luxury sector.
Blog post
UK Government Affairs Strategy Director Shuyeb Muquit compares the EU’s new Visa Strategy with the UK’s post-Brexit immigration system and assesses what the UK can learn to remain competitive for global talent.
Media mentions
Partner Karolina Schiffter highlights that new electronic signature rules may delay work permit procedures for foreign workers in Poland.
Blog post
Senior US Consular Manager Brian L. Simmons outlines how evolving US visitor visa rules, travel bans and new financial requirements may affect attendance at the 2026 FIFA World Cup and how early fans must prepare.
Immigration analysis
Manager Konstantin Schmid provides a practical overview of Swiss citizenship routes, eligibility rules and common reasons applications are delayed or refused.
Media mentions
Manager Pierangelo D’Errico discusses how recent changes to Italy’s citizenship rules are affecting applicants with Italian ancestry.
Podcast
Director Laxmi Limbani discusses how women are shaping the global space sector, the barriers they face and what is needed to support a more inclusive space workforce.
Media mentions
Senior Manager William Diaz outlines how immigration changes in the US and UK may affect workforce planning and mobility for the games industry in 2026.
Media mentions
Partner Julia Onslow-Cole highlights how global mobility is becoming a strategic, board-level consideration requiring careful planning, compliance and workforce management.
Video
Director Fatima Aydin outlines Ireland’s roadmap for increasing minimum annual remuneration salary thresholds and the implications for employer workforce planning and compliance.
Video
In this episode of the Fragomen FC, Partner Rick Lamanna, Senior Manager Jake Paul Minster, Manager Gustavo Kanashiro and Manager Sergio Flores discuss how immigration systems across the Americas shape football mobility, compliance and cross-border movement throughout South America.
Blog post
Senior Associate Ruben Fiedler outlines the new employer information obligation under Section 45c of the German Residence Act, explaining when it applies, what employers must provide to third-country nationals recruited from abroad and the practical steps needed to ensure compliance from 1 January 2026.
Podcast
Partners Cosmina Morariu and Rahul Soni examine how immigration and global mobility trends are influencing workforce strategy across the luxury sector.
Blog post
UK Government Affairs Strategy Director Shuyeb Muquit compares the EU’s new Visa Strategy with the UK’s post-Brexit immigration system and assesses what the UK can learn to remain competitive for global talent.
Media mentions
Partner Karolina Schiffter highlights that new electronic signature rules may delay work permit procedures for foreign workers in Poland.
Blog post
Senior US Consular Manager Brian L. Simmons outlines how evolving US visitor visa rules, travel bans and new financial requirements may affect attendance at the 2026 FIFA World Cup and how early fans must prepare.
