CUSTOM BUILT TEAMS
1,000+ years combined industry experience with in-country experts across the world
Alejandra Rodarte is an economist with a specialization in finance and an MSc in Global Health Policy from the London School of Economics and Political Science. She won a scholarship to attend an entrepreneurship course at Georgetown University and was selected as one of 15 entrepreneurs from Latin America for a fellowship from the University of Berkeley. Additionally, Alejandra attended and coordinated a global leadership program at Charles University, Prague. She is a Spanish native speaker and is fluent in English and French, and is currently learning Chinese
Specialist in: IPMI claims management and handling, product creation and market entry and becoming the lead sales person in those markets.
Regions: Belgium, Netherlands, Luxemburg
Profile: Aliyu’s career predominantly lies in sales and new business generation, and account management. He has experience in renewals processes and strategies, in market research, strategy, competitor analysis, and launch. He has also worked with digital strategies on consumer behavior, how to target the right audience, and product marketing.
Specialist in: Financial Services (Banking and Insurance)
Regions: Germany, Austria, Switzerland
Profile: Andreas is an experienced consultant having worked in EY, Innovalue and Arkwright
Specialist in: International life, health, disability and travel insurance expertise, capitated medical network development, self insurance employer arrangements.
Regions: Asia, Lat Am
Profile: Since 1998, Armando has held Presidency roles in companies including MediPlan/CIGNA, Medifam, Global Benefits Group (GBG), and Baez Insurance Services. He has experience in developed health and life insurance marketing, underwriting, and administrative business operations in China, Indonesia, Mexico, Philippines. He’s had hands-on experience working with key payors, buyers, and sellers in all regions of the globe.
Location:California, United States
Specialist in: Digital health, strategy, wellness, new market entry.
Regions: UK, India, Western Europe, UAE
Profile: A Consultant here at McGrigor Group for over 3 years, Avanti has since done work for the Gerson Lehrman Group (GLG) and Cambridge Healthcare Research and currently works as a Strategic Projects Manager at Integra Global.
Specialist in: Insurtech, Technology Innovation
Profile: Bob Cookson has worked for 40 years in senior general management, operations and technology roles in and around healthcare insurance and healthcare delivery with spells in reinsurance underwriting management, emergency medical assistance and healthcare management, domestic private medical insurance start-ups in emerging markets and for the last 10 years leading the Information Technology and IT Governance functions for IPMI provider Now Health International. Now based in Cyprus, Bob continues to focus on technology innovation and the governance thereof through his own consultancy InsurTech Information Technology Ltd.
Specialist in: Medical and specialty healthcare and healthcare related services both domestically and internationally
Regions: North America, Europe, MIddle East, Asia
Profile: Bob is a senior executive experienced at running large and diverse domestic and international operations. He has more than 20 years in health insurance and worked for Cigna and Aetna. His focused and disciplined approach has consistently produced strong revenue, earnings, and shareholder growth. Areas of expertise include financial acumen, priority setting, and execution, strategic planning, perceptive judge of talent and potential, and building high-performance teams.
Location:Philadelphia, United States
Carella McGrigor has been Company Secretary since McGrigor Corporation began in 2002. She has had 20 years of research and media relations experience with medical charities both in mental health and in cancer care. She has a degree in English Literature, a post-graduate conversion diploma in Psychology and a Counselling Conversion Diploma, specializing in children and young people. Her activities include company strategy, board process, event management, and research. She practices as a counsellor and has an interest in wellbeing and psychoeducation for companies and Apps for mental health.
Specialist in: Healthcare and Technology solutions for payors and providers
Regions: North America
Profile: Casper is an experienced investor in the healthcare sector, with a particular focus on medical devices, biotechnology, pharmaceutical and biopharma tools. He has a 25 year track record in the development of ventures in the medical device and life sciences industry.
Location:San Francisco, United States
Chadwick Van Vacas
Specialist in: Life and Health insurance
Regions: All of Africa
Profile: Chad has recently returned home to Morocco after living and working in the US, Europe, Africa, and the ME. He has held several senior positions with several multi-national insurance companies around the world and is a proven leader and manager of strategy, execution, people and culture. His niche expertise lies in health and life insurance product development and sales.
Location:Casa Blanca, Morroco
Specialist in: International expatriate health insurance and assistance consulting in addition to medical systems.
Profile: Cristobal has experience in healthcare maintenance organizations, value care HMO insurance companies, and providing medical benefits in the Philippines. He has been in the healthcare industry for 20 years in diverse roles, such as sales, marketing, and operation on claims and memberships for the clients. Additionally, he has experience in healthcare employee benefits, as he has handled the corporate program of several companies, and has experience talking with governments (regulators), hospital groups, and customers.
Specialist in: Health insurance, employee benefits.
Regions: UK, China, SE Asia, USA, Europe
Profile: For the last ten years, Christopher has driven forward his own health insurance consultancy company formerly called Health Well Ltd (now Health Well Solutions Ltd). On top of this, he has been General Manager of the Employee Benefits and Health Care Division for Unistar Insurance Brokerage since 2013.
Claire joined the company in the summer of 2014. Her responsibilities include maintaining the financial accounts, all invoicing and payments and preparation of year-end accounts. Claire has been AAT qualified since 2008 and has worked in finance since 2004. Prior to thisClaireworked for 15 years in the Electronics Industry and she has an HND in Electronic Engineering.
Specialist in: Digital health, healthcare contracting/procurement, health insurance.
Regions: Hong Kong, China, India, Middle East (GCC), Europe
Profile: Having had various director roles at BUPA for 15 years, Damien has since had roles as Chief Executive of AXA Global Health and CEO of Ingenica Solutions, and is currently Director of Augment Healthcare Ltd.
Location:Horsted Keynes, UK
Specialist in: All employee benefits (medical, life, travel insurance and group pensions), M&A and due diligence relating to the above fields, strategic and operational planning, expert second medical opinions, outsourcing.
Regions: Gulf, Middle East
Profile: David founded InterGlobal in 2000 in the Middle East, before leaving nine years later to become an independent consultant providing services ranging from market research to strategic implementation.
Specialist in: International product medical insurance IPMI, insuretech, and platform.
Profile: David is the founder of D.F.H.E Advisors, which specialises in making insurance products fully comparable and understandable by everyone. Previous experience in credit exposures and risk transfer between insurance and hedge funds.
Specialist in: Consultant in B2G negotiations in West Africa/Sub-Sahara.
Regions: Europe, MENA, West Africa
Profile: After three years experience as head of the International Department of the French Hospital Group CLINALLIANCE, David Vogdt joined the McGrigor Group as a partner in 2014 to set up the Paris based office with Mikael Garandeau and James McGrigor, bringing significant experiences in International Patient Care with him. Having worked with patients from over 24 countries from Africa to the Middle East, David has a wide understanding of International Patient Routes. David is fluent in English, German, French, Spanish and Portuguese. He obtained his bachelor degree in Marketing and Management at IPAM Porto.
Specialist in: Healthcare.
Regions: China, East Asia
Profile: David Wood is the President of the ChinaCare Group, the only international healthcare consulting firm on the mainland of China. He has over 30 years of hospital administration and healthcare consulting experience, both domestically in the United States and internationally. His consulting activity has included assisting clients in a variety of engagements all over the world including the United States, China, Germany, Greece, Austria, Australia, Thailand, Vietnam, England, Canada and Gambia. His professional experience also includes serving as the managing director of PriceWaterhouseCooper’s healthcare consulting practice in China and Hong Kong.
Specialist in: IPMI, compliance, employee benefits (sales and legal).
Regions: Europe, Middle East, Asia
Profile: Denis has over 15 years of experience in International Employee Benefits (both sales and legal) for companies that include: Swiss Life France, Allianz, Gras Savoye and Paulin Harris Consulting Ltd. In a highly regulated market worldwide, he can assist in arranging the most optimized benefits for your expatriated employees or set up specific programs for all kinds of individuals in mobility.
Dr. Douglas Stevens
Specialist in: Health systems design and implementation, population health management, clinical governance, operations alignment, program quality management and audit.
Regions: Germany, UAE, China, Ireland and South Africa.
Profile: Dr. Douglass has been a physician for 35 years and has experience working in International Health and Organisational Medical Management, including a 10-year career with International SOS. He has been an independent Global Health Management Consultant for ten years in which he has worked with large multinational organisations across a diverse spectrum including corporates, IGO’s and NGO’s.
Specialist in: Health Insurance, Health Risk Management, Managed Care, Disease Management, Wellness, Preventive Care, HMO, Investment in HealthCare Service, Investment in Life and Health Insurance
Profile: Dr. Rico W. Tang is the Founder of Valurise Group and the Founder of Valurise Health Solutions International Group [VHS Group]. He is also the Board Member of International Health Risk Management Association [IHRMA], the Board Member of International Disease Management Alliance [IDMA], the Executive Chairman of International Health Risk Management Forum [IHRM], the Editorial Board Member of China Life Insurance Professionals Qualification Exam Textbooks, the Editorial Board Member of China Health Insurance Development Report, and the Invited Columnist of China Insurance News.
Specialist in: Insurance and Reinsurance
Profile: Eray Turker is the Managing Director of Turker Re and former Assistant General Manager of Türker Insurance and Reinsurance Brokers, based in Istanbul. He is also a director of ucuzasigortalan.com, a Turkish insurance portal.
Specialist in: IPMI, and general insurance.
Regions: Greece, Cyprus, Romania, UK, EU
Profile: For seven years now, Fillis has been the CEO of his family-run insurance company (D. Atheneos Insurance Agents S.A., now known as GLOBASSURE Insurance Agents s.m.p.c), and the Operations Manager for a further five years. Fillis has substantial experience with various insurance companies (e.g. AXA, Generali, Allianz, BUPA, and Aetna).
Specialist in: IPMI, due diligence, IPMI intermediary market.
Regions: Middle East, Africa
Profile: Francis is an long term strategy consultant with experience across multiple sectors, including numerous healthcare engagements. His core interest lies in delivering top-line growth through market entry, market share growth, product expansion, and M&A. His past work with the McGrigor Group includes the MGG IPMI publication for the Middle East and Africa, Market entry for a North African Market, M&A support for IPMI broker consolidation, Cost reduction for a leading IPMI player.
Specialist in: Population Health, Chronic Care Management,
Social Determinants of Health, Alternative Payment Models, Policy, ACOs, Digital Health, Data and Analytics.
Regions: North America, Brazil, Kuwait
Profile: Fred Goldstein is president and founder of Accountable Health, LLC, a healthcare consulting firm. His experience spans population health, disease management, HMO and hospital operations. He founded a disease management company that served 10 State Medicaid Programs, operated a Medicaid HMO rated #1 in quality by the State of Florida, and was responsible for the Medicare Annual Wellness Visit in the Affordable Care Act.
Location:Jacksonville, United States
Specialist in: Strategy, innovation, new business, marketing.
Profile: Hyokon is a business consultant and entrepreneur. Having worked for 10 years as a strategy consultant for AT Kerney and Bain, Hyokon founded its own consultancy, Innomove, with a core focus on innovation. In parallel to growing Innomove, he is the founder of several startups in the internet world in Korea.
Specialist in: Health insurance, medical second opinion and travel for treatment markets
Profile: Jack is a freelance analyst for McGrigor. He recently graduated from the University of Bristol with First Class Honours in Civil Engineering.
Specialist in: TPAs, reinsurance treaty, distribution agreement, alternative distribution, strategy, operational excellence, regulatory dealings (HK), insurtech
Regions: Hong Kong, China, South East Asia
Profile: Jacob has worked for 15 years in IPMI in Asia, with experience in every link of the value chain (from distribution client-facing, sales, operations, to product design and operations from a provider’s angle dealing with reinsurers, and TPAs, etc.)
“After 16 years in strategic management consulting (with Bain and Arkwright), and 2 short-lived healthcare start-ups, James founded McGrigor Group – a strategic advisory boutique specialised in international health – in early 2002, to combine his two careers into one. Since then, he has run McGrigor Group, with personal involvement in > 400 projects spread across 95 countries. Some are pure growth advisory, some are deal based, but a theme of shared risk/reward pervades most, including some specialty projects in Africa and in emergent digital health services.
He greatly enjoys building and working with his partner offices in Paris, Bahrain and Morocco and the 60 strong associate networks from the US to China.
Industry positions have included roles as a Corporate Finance adviser to The British Association of Medical Insurance Intermediaries and as co-chair for the American Population Health Association’s International Committee.”
Phone:+44 (0)1264 738 892
Specialist in: IPMI, sales and product development strategy, development of risk management strategies, ASO administration with associated insurance solutions, partnership development, joint ventures.
Regions: SE Asia (Singapore), Middle East, UK
Profile: Jonathan has worked in the IPMI industry since 2001. Business development roles with BUPA Intl, Expacare, DKV Globality. He set-up Vivilate August 2010 by developing bespoke plans for distribution partners in Dubai, India, Indonesia, and acting as Product Manager once these plans launched.
Specialist in: Mexican and Spanish markets.
Regions: Mexico, Spain
Profile: Juan has extensive experience in International Finance. He has worked in Spain and Mexico. Additionally, he has project management and teaching experience.
Location:Mexico city, Mexico
Justin joined McGrigor Group in 2017 after he completed his MSc Economics at University College London. During his time at McGrigor Group, he has been a part of over 15 successful projects ranging from market research, acquisition target screening and advising on commercial due diligence. He also coordinated and jointly wrote McGrigor Group’s 2018 Global International Private Medical Insurance report. He is London based but has successfully executed projects in multiple countries around the world including UAE, USA, France and China.
Specialist in: Health insurance, life insurance.
Regions: USA, Global
Profile: Kevin has over 20 years experience conducting financial analysis in both the Life and Health Insurance, as well as Reinsurance industries and finance. He has extensive experience working with and marketing to clients at a senior level, as part of his 3 years as Vice President of Phoenix Insurance Company. Kevin has an Actuarial background with an honors finance MBA.
Specialist in: Claim management, evacuations, medical expenses – Medical assistance.
Profile: Kevin has over 20 years of experience in the international medical assistance market, managing various sectors in this exciting industry – medical claims management, international medical assistance services, international medical evacuations, assisting clients in managing their medical expenses. Additionally, he has experience in Third Party Administration, case management, and cost containment. He currently holds the positions of Group COO of InterHealth Technologies and Senior Vice President of Global Operations at MediGuide Intl.
Location:Cape Town, SA
Lola May Coker
Specialist in: IPMI, assistance, travel insurance.
Profile: Lola has 19 years of experience in international medical assistance and health insurance. She has held a number of positions in operations at leading insurers and assistance companies (Goodhealth, ISOS, Pruhealth, AIG), specializing in the design/development/coordination of assistance and insurance processes. She has been an independent consultant since 2010, working for Insurers, Assistance and TPAs on project management, internal auditing, training, and QA development, claims and cost containment optimization)
Specialist in: Specialized in International healthcare insurance (also local) and employee benefits. Focused on design, product development and opening new markets
Regions: Spain and countries with high number of Spanish expats
Profile: Loreto has a multifaceted profile where she can be involved in high-rank meetings and also be doing fieldwork. Her expertise is improving, designing, and launching new products and opening new markets.
Specialist in: Strategy, project management, distribution, silver economy.
Profile: Marc is a life insurance expert with vast experience, including almost 21 years as CEO of Alico (part of the AIG Group) and a combined nine years at Metlife and AVIVA (Italy and France divisions). Marc now owns a brokerage company and a strategy service consulting firm.
Specialist in: Claims Consultant, IPMI.
Profile: Marie-Christine has been a consultant since 2002 and now works for EW Consulting Services, which she co-founded in 2013. Her company offers support to insurers, TPAs, Underwriters and all manner of other parts of this industry.
Specialist in: Workplace Mental Health and EAPs
Profile: Mark Attridge is President of Attridge Consulting, Inc. Mark brings a unique scholarly approach to his consulting that derives from his past work with health care service providers, benefit consultants to employers and academic researchers. A popular presenter at international conferences and professional meetings, he is known for translating research findings and concepts into business contexts and practical applications. He has authored more than 250 papers and presentations on topics in health care, psychology and communication. He has been most active in the field of workplace mental health and the area of employee assistance programs (EAP) in particular. His specialties include writing literature reviews and knowledge transfer papers, public speaking on workplace mental health issues and designing surveys and research studies for workplace health services.
Mark has 25+ years’ agency experience in B2B and B2C digital marketing, strategy development, data protection, content creation and conference and event management.
Specialist in: Employee benefit programmes, health & assistance, benefit plans management, reinsurance, underwriting.
Regions: Turkey, Azerbaijan, Northern Cyprus, Romania, Bulgaria
Profile: Meneske is in her 14th year as CEO of IUC Group, managing three different brand and company organisations serving over 600,000 customers. She has experience with successfully managing various aspects of a large insurance company including building reinsurance programmes for all types of reinsurance treaties, implementing product-management system first time in the insurance market, setting up new departments, establishing and monitoring management by objectives applications, leading cross-functional teams on key projects, having multifunctional responsibilities including strategic planning, claims audit, human resources, and mergers.
Specialist in: Business Inteligence andPopulation Health Management
Regions: North America
Profile: Michael is the Founder and CEO of the Lonley Entrepreneur, a company that provides entrepreneurs with solutions to all the business and personal issues that entrepreneurs face. Additionally, he was the President and CEO of The Dermer Group, a strategic consulting firm focusing on rewards and incentives and go-to-market strategies in healthcare. Michael was the founder of IncentOne, which he sold to Welltok in 2013. Michael is considered the founder of the health rewards movement and one of the experts on the use of rewards and incentives in healthcare.
Location:New York, United States
Specialist in: Financial, health, and educational sectors.
Regions: Europe, Lat Am, Asia
Profile: Muskilda has more than 15 years of international and multicultural experience. She has developed new areas of business, markets, and regions within small and large companies, either as an in-house or as an external consultant, mainly in Europe and Asia. Her experience with multinational companies has been focused on financial, health, and educational sectors. She specializes in identifying potential risks and opportunities. Her secondary background in Psychology allows her to fully understand customers preferences and motivations and to lead successful teams
Specialist in: Asian IPMI, Hong Kong PMI, product design, regulatory, marketing, distribution, operations &strategy.
Profile: Nigel is the CEO-Founder of Paulin Harris Consulting Ltd. Since 2010, PHC has advised international health, life, and pension businesses intending to launch, grow or realign business lines in Asia.
Specialist in: Claims management, evidence-based medicine.
Profile: Nir is a founding partner of Medical Reviews International. He has built up a team of internationally experienced clinical and business executives that operate a global network of medical specialists in all medical areas. He brings years of management consulting background and more than ten years of experience in helping healthcare insurers in optimising their claims operations and improve healthcare provisioning.
Specialist in: Political risk, trade credit, political violence, surety.
Regions: Europe, North Africa, Lat Am
Profile: Noemi spent 15 years working as a political risks and trade credit underwriter for Lloyd’s. She operates now as a consultant for several Lloyd’s Syndicates and one of the top trade credit brokers in the London insurance market.
Specialist in: Technology transfer, IP & innovation management, valuations & investment appraisals, innovation policy & strategy, personalised medicine/longevity, digital medicine, AI/big healthcare data, Insurtech/Meditech/connected healthcare, IoT & sensors, medical devices.
Regions: UK, Europe, Russia, CIS
Profile: Olga has experience in quantitative and qualitative research supporting the commercialisation and technology strategy development in healthcare and digital sectors. Experience in business appraisal for commercial potential and investment. Contributed to multi-side international policy studies as a technical/ technology transfer expert with the Joint Research Centre of the European Commission. (No LinkedIn so cannot get specifics)
Specialist in: (International) Healthcare, property damage, disability, life, pensions.
Regions: Netherlands and Belgium
Profile: Paul set up and acted as a licensed individual for Global Benefits Group in Europe for 12 years. Since 2004, Paul set up and runs Bus insurance Services. The company offers brokerage for international individual insurance but also local insurance solutions for high net worth individuals and companies.
Per Bay Jorgensen
Specialist in: International health and travel insurance.
Regions: Europe, Asia, Lat Am
Profile: Having been a CEO for 27 years at International Health Insurance Denmark, Per Bay has an extensive and impressive history in heading the advancement of health insurance companies in Europe. He is currently the owner of the Bay Consult International, a management consultancy company. He maintains a number of board positions, especially in Denmark.
Specialist in: STM Publishing, Life Sciences informatics, BFSI, Medical Devices, Telecoms, Travel
Profile: Prashant has extensive experience working with clinical data, life sciences R&D informatics and EMR. Additionally, he specializes in assessing the early-stage digital health companies for investment purposes and creating business cases for procuring and implementing specialist healthcare software solutions.
Specialist in: Expatriate health insurance and International Health Insurance
Regions: Lat Am
Profile: Raul is a specialist of expatriates and international private medical insurance in Latin America, having held director positions for 15 years at Amedex and then following its acquisition at BUPA International where he was in charge of the business development for Lat Am. He is currently the director of Miami-based consultancy GBU Global, where he brings his senior advice to clients from the insurance industry.
Rhiannon joined McGrigor Publishing in early 2015 as the editor of the McGrigorPublishing. Rhiannon has extensive consulting and research experience both in the UK and abroad. Rhiannon has worked on the publication of three major reports to date. Rhiannon also supports the analysts and consultants on projects. She has a BA Hons from Durham University and an MSc from the University of Surrey.
Phone:+44 (0)1264 738 892
Specialist in: Health Insurance and business development
Profile: Rod has been an insurance consultant for more than ten years. He is currently a senior business consultant. Rod has worked with several associates and also with software companies for best-of-breed solutions. These activities include a particular emphasis on health insurance (domestic & international), where he has developed a framework for addressing the global scourge of health insurance fraud.
Specialist in: Workplace health and well-being programs, economic analysis, measurement and evaluation, ROI studies, best practice benchmarking, surveys
Regions: North America primarily – but also Brazil, Singapore, South Africa, Israel
Profile: Dr. Ron Z. Goetzel is a senior scientist and director of the Institute for Health and Productivity Studies (IHPS) at the Johns Hopkins Bloomberg School of Public Health and vice president of consulting and applied research at IBM Watson Health. IHPS mission is to bridge the gap between academia, the business community, and the health care policy world. Before Johns Hopkins, Goetzel served on the faculties at Emory and Cornell Universities.
Specialist in: Insurance, Financial Market Structure, Organization, Compliance and Market Analysis
Profile: Sergio has experience in consultancy projects, supporting in the professional or insurance product or marketing in general speaking, and the compliance of insurance, involved in distribution compliance. Experience in many projects on checking the distributor and compliance of the distributor. Expertise in the distribution network with the strategic planning and support for the insurance company to build the distribution network by looking for people. Last but not least, a big area is learning information for distribution for the managers, executives, or commercial project support.
Shavkat G. Mingaliev
Specialist in: International Health Insurance and Reinsurance
Regions: Russia, Austria
Profile: Shavkat is an experienced insurance intermediary in both primary and reinsurance. He works with large Russian corporate clients on multiple lines including health. Based in Vienna he works also with GRECO brokers across the East European and former CIS. He has long harboured a desire to set up a health insurer in Russia, and has worked with McGrigor Group several times over 10 years.
Specialist in: Hospital management, healthcare delivery.
Regions: UK (London)
Profile: Ted trained as a business strategy consultant at Bain & Co where he advised several high-profile operators in the private healthcare sector. He specialises in strategic planning, market research, investment proposals, mergers and acquisitions, and general corporate development. He authors LaingBuisson’s market report covering the London private acute medical care market and is also the director of LaingBuisson’s annual Private Acute Healthcare Conference. Ted is a regular speaker at seminar and roundtable events and also provides bespoke consultancy services. Lastly, he is a Non-Executive Director of QS Enterprises Ltd., a private imaging business owned by the UCLH Charity.
Specialist in: International expatriate health insurance and assistance consulting in addition to medical systems.
Regions: North America
Profile: Tom and his partner Mike started their careers together at CIGNA Healthcare in mid-market sales and account management. In the mid-1990s, a growing need for international medical and emergency assistance services drew them to International SOS (formerly known as AEA) as sales directors working with international corporate clients in the U.S. and Canada. In 1999, Tom and Mike started Viator International with the goal of bringing their unique insights and experience to a growing global economy. Since then, the Viator book of business has grown substantially, and now represents one of the largest multinational client bases managed by any independent employee benefits firm in the country.
William (Bill) Bossany
Specialist in: International health insurance, Microinsurance in health, health insurance operational consulting, healthcare operations and strategic consulting (market entries and sales strategies).
Regions: China (and Australasia, South Asia, Middle East, USA, Pacific Basin, UK, Germany)
Profile: William has over 20 years of experience in health insurance operations, sales, UW, medical management, and provider networks. His work experience included ten years for Munich Re, including being GM of Greater China. Since then, he has become independent with Bossany Consulting Intl. He also maintains connections with various organizations that serve health insurers like PBMs, Wellness, and health advisors.
Location:Guam, Western Pacific