
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
Blog post
Immigration Director Deirdre Murray explores the impact of upcoming employment permit changes on employers and workforce planning in Ireland.
Video
Director David Iannella discusses how Global Entry can help frequent business travelers navigate US entry more predictably and access TSA PreCheck.
Video
Manager Russell Hodges and Associate Gurpreet Phalora explain key UK immigration considerations for London Fashion Week 2026.
Advisory services
Senior Counsel Jo Antoons and Immigration Supervisor Elisabeth Kamm explore the EU Blue Card recast and its impact for employers, highlighting how hiring, retention and mobility decisions are affected.
Media mentions
Partner James Pack on US H‑1B updates and what employers should know for the upcoming lottery.
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
Immigration Director Deirdre Murray explores the impact of upcoming employment permit changes on employers and workforce planning in Ireland.
Video
Director David Iannella discusses how Global Entry can help frequent business travelers navigate US entry more predictably and access TSA PreCheck.
Video
Manager Russell Hodges and Associate Gurpreet Phalora explain key UK immigration considerations for London Fashion Week 2026.
Advisory services
Senior Counsel Jo Antoons and Immigration Supervisor Elisabeth Kamm explore the EU Blue Card recast and its impact for employers, highlighting how hiring, retention and mobility decisions are affected.
Media mentions
Partner James Pack on US H‑1B updates and what employers should know for the upcoming lottery.
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.
