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Welcome to Marsh McLennan's Earnings Conference Call. Today's call is being recorded. Fourth quarter 2024 financial results and supplemental information were issued earlier this morning. They are available on the company's website at marshmclennan.com. Please note that remarks made today may include forward-looking statements. Forward-looking statements are subject to risks and uncertainties and a variety of factors may cause actual results to differ materially from those contemplated by such statements. For a more detailed discussion of those factors, please refer to our earnings release for this quarter and to our most recent SEC filings, including our most recent Form 10-K, all of which are available on the Marsh McLennan website. During the call today, we may also discuss certain non-GAAP financial measures. For a reconciliation of these measures to the most recently comparable GAAP measures, please refer to the schedule in today's earnings release. The operator provided instructions to participants on how to ask questions. I’ll now turn the call over to John Doyle, President and CEO of Marsh McLennan.
Good morning, and thank you for joining us to discuss our fourth quarter and full year results reported earlier today. I’m John Doyle, President and CEO of Marsh McLennan. On the call with me are Mark McGivney, our CFO, and the CEOs of our businesses: Martin South of Marsh; Dean Klisura of Guy Carpenter; Pat Tomlinson of Mercer; and Nick Studer of Oliver Wyman. Also with us this morning is Jay Gelb, who recently joined Marsh McLennan as our Head of Investor Relations. Many of you know Jay from his time as an equity analyst covering the insurance industry. Before I discuss our results, I want to take a moment to comment on the California wildfires. These events are a profound human tragedy. Lives have been lost and tens of thousands of people have been left homeless and suffering. Marsh McLennan colleagues and clients in the Los Angeles area have been affected, and our company is committed to doing everything we can to support them during this difficult time.
Insured losses from the wildfires are expected to exceed $30 billion, placing these losses among the top 10 natural disasters in history in terms of insured losses. The increasing frequency and severity of natural disasters, higher property values, and continued development in catastrophe-prone areas underscore the need for greater resilience and better risk mitigation planning. Marsh McLennan will continue to bring together individuals, businesses, the insurance industry, and governments to build resilience, mitigate the devastating impacts of catastrophes, and accelerate recovery. Turning to our results: 2024 was a milestone year for Marsh McLennan. We executed on our strategic objectives, delivered excellent financial performance, and completed the largest year of acquisitions in our history. Total revenue grew 8% to $24.5 billion. We generated 7% underlying revenue growth, marking our best stretch of growth in more than two decades, with strong contributions from both risk and insurance services and consulting.
Adjusted operating income grew 11% to $6.2 billion, following 17% growth in 2023. Our adjusted operating margin increased 80 basis points, representing our 17th consecutive year of reported margin expansion, and adjusted EPS grew 10%. We also advanced our key priorities. We had a record year of M&A, investing $9.4 billion in acquisitions, including our $7.75 billion acquisition of McGriff. We returned significant capital to shareholders, raising the dividend by 15% and completing $900 million of share repurchases. We successfully completed our restructuring program, achieving the goals we set two years ago by accelerating client impact, reinvesting in capabilities, improving efficiency, and increasing collaboration across the firm. Let me briefly address our acquisition of McGriff, which closed on November 15. McGriff has strong momentum, and I am excited to welcome them to Marsh McLennan Agency.
Integration is proceeding according to plan, and although it is still early, our fundamental outlook for the business remains unchanged. As we noted when announcing the transaction, McGriff brings excellent leadership, outstanding talent, and a history of strong growth. The acquisition expands our presence and capabilities in the growing middle market, and on a standalone basis, Marsh McLennan Agency would be the fifth largest broker in the United States. In addition to McGriff, we completed several other important acquisitions, including two top 100 agencies within MMA, Vanguard’s OCIO business, and Cardano in Mercer. As we begin the new year, I want to update you on our strategy. First and foremost, we are a growth company well-positioned globally with market-leading businesses and significant opportunities. We aim for outstanding near-term results while investing to sustain long-term performance.
We consistently reinvest a substantial portion of our cash flow into organic investments, particularly in talent, technology, and capabilities. Innovations such as Sentrisk, Blue i, LenAI, and other digital tools illustrate how we deliver value for colleagues and clients. Investing in data and insights enables us to work smarter for clients and help them gain the perspective needed to pursue their ambitions. We also maintain a balanced approach to capital management to preserve financial flexibility while managing capital efficiency. We have a bias to reinvest the capital we generate into high-quality acquisitions, but we also recognize the importance of returning capital to shareholders. Each year we aim to raise the dividend and repurchase enough stock to reduce our share count. A focus on high-quality acquisitions remains a key part of our growth strategy. Over the past decade we have invested approximately $24 billion in M&A across more than 200 transactions, accelerating growth with attractive returns.
These acquisitions extend our reach, enhance capabilities, and increase scale. Our businesses’ growth plans remain central to our strategy, and we are collaborating more effectively across the firm to capture opportunities at the intersections of our businesses while continually challenging ourselves to operate more efficiently. We have expanded our operating margin by over 900 basis points in the past decade and improved margin by nearly 500 basis points in the last five years, achieved primarily through efficiency gains and disciplined management of operating expenses while continuing to grow our talent base. Even with these improvements, we see further opportunities to enhance performance. While growth, discipline, and balanced investment will continue to underpin our strategy, we are constantly evolving to deliver greater value to clients and other stakeholders. Turning to insurance market conditions: the global insurance and reinsurance market remains dynamic.
At nearly $130 billion, 2024 marked the fifth consecutive year with more than $100 billion of insured natural catastrophe losses. Despite this elevated risk landscape, the Marsh global insurance market index decreased 2% in the fourth quarter compared with a 1% decline in the third quarter. As a reminder, our index skews toward large account business. By region, rates in the U.S. were flat; Latin America was up low single digits; Europe, the U.K. and Asia were down low to mid-single digits; and the Pacific region was down high single digits. Global property rates declined 3% compared to down 2% in the third quarter. Global casualty rates increased 4%, with U.S. excess casualty up approximately 15% in the quarter. Workers’ compensation decreased mid-single digits. Global financial and professional liability rates were down 6%, and cyber decreased 7%. In reinsurance, underwriting discipline persisted, particularly around program retentions, and capacity increased at a faster pace than client demand.
In global property, catastrophe reinsurance accounts not impacted by loss saw risk-adjusted rates down 5% to 15%, while loss-impacted accounts experienced rates that were flat to up 30%. Casualty renewals had varying outcomes. Excess loss placements continued to face pressure on treaty terms. Quota shares were more stable with sufficient capacity, and seeding commissions were flat to slightly down. On health trends, our surveys indicate medical costs are expected to increase 11% globally in 2025, marking the fifth consecutive year of at least a 10% increase. Regionally, anticipated increases are 8% in North America, 9% in the Pacific, 10% in both Europe and Latin America, 11% in the Middle East and Africa, and 13% in Asia. For U.S. employee-sponsored health plans, total health benefit cost per employee is expected to rise 5.8% on average in 2025 after planned cost reduction measures, which would be the third consecutive year of cost growth around 5%.
As always, our focus is on helping clients navigate these dynamic market conditions. Now let me turn to our fourth quarter financial performance, which Mark will review in more detail. We are pleased with our fourth quarter results: growth remained strong and solid earnings capped another excellent year. Revenue grew 7% on an underlying basis, with 8% growth in Risk and Insurance Services and 6% in consulting. Adjusted operating income increased 9%, and adjusted EPS for the quarter was $1.87, up 11% from a year ago. Looking to 2025, we are well-positioned for another strong year. We currently expect mid-single-digit underlying revenue growth, which includes an anticipated headwind from fiduciary income, along with continued margin expansion and solid adjusted EPS growth. This outlook assumes current macroeconomic conditions persist, but the environment remains uncertain and could differ materially from our assumptions.
In summary, we are pleased with our 2024 performance. We executed against our strategic objectives and continued our track record of delivering strong results. With that, I’ll turn the call over to Mark for a more detailed review of our results.
Thank you, John and good morning. Our solid fourth quarter results reflected continued momentum and capped an excellent year with strong underlying revenue growth and double-digit growth in adjusted EPS. Our consolidated revenue increased 9% in the fourth quarter to $6.1 billion with underlying growth of 7%. Operating income was $1.1 billion and adjusted operating income was $1.3 billion, up 9%. Our adjusted operating margin was 23.3%. GAAP EPS was $1.59. Adjusted EPS increased 11% to $1.87 and included a $0.05 benefit from favorable discrete tax items and a $0.02 headwind from foreign exchange. For the full year, underlying revenue growth was 7%. Adjusted operating income grew 11% to $6.2 billion; adjusted EPS grew 10% to $8.80; and our adjusted operating margin expanded 80 basis points to 26.8%, marking our 17th consecutive year of reported margin expansion. 2024 was also a record year for capital deployment.
We invested $9.4 billion in acquisitions, the largest year in our history. We also raised our quarterly dividend 15% and bought back $900 million of our stock. Looking at risk and insurance services. Fourth quarter revenue was $3.6 billion, up 11% or 8% on an underlying basis. Operating income in RIS increased 2% to $770 million. Adjusted operating income increased 13% to $893 million, and our adjusted margin was 27%. For the full year, revenue in RIS was $15.4 billion with underlying growth of 8%. Adjusted operating income increased 13% to $4.6 billion, and our adjusted operating margin increased 70 basis points to 32%. At Marsh, revenue in the quarter was $3.3 billion, up 15% from a year ago or 8% on an underlying basis, reflecting continued growth across our regions as well as a rebound in transaction risk products and claims activity in our Torrent flood business. This result marks the 16th consecutive quarter of 6% or higher underlying growth at Marsh.
In US and Canada, underlying growth was 8% for the quarter. In international, underlying growth was 9%, with Latin America up 13%, EMEA up 9% and Asia-Pacific up 6%. For the full year, Marsh's revenue was $12.5 billion with underlying growth of 7%. US and Canada was up 7% and international grew 8%. Guy Carpenter's revenue in the quarter was $201 million, up 7% on an underlying basis, driven by growth across our regions and global specialties. For the year, revenue was $2.4 billion, representing 8% underlying growth, Guy Carpenter's fourth consecutive year of 8% or higher underlying growth. In the Consulting segment, fourth quarter revenue was $2.4 billion, up 6% on both a GAAP and underlying basis. Consulting operating income was $466 million and adjusted operating income was $484 million, up 1%. Our adjusted operating margin in consulting was 20.7% compared to 21.3% a year ago, reflecting seasonality in the impact of acquisitions and dispositions.
For the full year, consulting revenue was $9.1 billion with underlying growth of 6%. Adjusted operating income increased 6% to $1.8 billion and our adjusted operating margin increased 30 basis points to 20.7%. Mercer's revenue was $1.5 billion in the quarter, up 5% on an underlying basis. This was Mercer's 15th consecutive quarter of 5% or higher underlying growth and continues the best run of growth in over 15 years. Health underlying growth was 5% in the quarter, reflecting growth across all regions. Wealth was up 4%, led by growth in investment management. Our assets under management were $617 billion at the end of the fourth quarter, up 13% sequentially and up 47% compared to the fourth quarter of last year. Year-over-year growth was driven by our transactions with Cardano and Vanguard, positive net flows and the impact of capital markets. Career increased 7%, driven by growth in talent and rewards, surveys and products.
For the year, revenue at Mercer was $5.7 billion, an increase of 5% on an underlying basis. The fourth straight year of 5% or higher underlying growth. Oliver Wyman's revenue in the fourth quarter was $954 million, an increase of 7% on an underlying basis. This reflects growth across all regions and businesses and was achieved despite a tough comparison to 9% growth in the fourth quarter of last year. For the full year, Oliver Wyman's revenue was $3.4 billion, reflecting underlying growth of 6%. Fiduciary income was $112 million in the quarter, a decline of $26 million from the third quarter, reflecting lower interest rates. Looking ahead to the first quarter of 2025, we expect fiduciary income will be approximately $100 million. Foreign exchange was a $0.02 headwind in the fourth quarter and a $0.05 headwind for the full year. Assuming exchange rates remain at current levels, we expect FX will be a headwind of $0.04 in the first quarter and $0.09 for all of 2025.
Turning to our McGriff transaction, we closed the deal in mid-November and as John mentioned, the integration is going well. McGriff is a terrific business and we're excited about what they bring to MMA. In November we issued $7.25 billion of senior notes to fund the transaction. The first quarter is McGriff's seasonally smallest from a revenue perspective, so for Q1 we expect McGriff will be modestly dilutive to adjusted EPS. However, I want to emphasize that we continue to expect McGriff will be modestly accretive to adjusted EPS for full year 2025, becoming more meaningfully accretive in 2026 and beyond. We expect noteworthy charges associated with McGriff of approximately $450 million to $500 million in total over the next three years, with the vast majority of these costs associated with retention incentives, a significant portion of which was put in place by the seller. These costs flow to our financial statements, but were funded by the seller through a purchase price adjustment.
Also note that we will exclude McGriff from our underlying growth calculations for the first year as is our convention. Total noteworthy items in the quarter were $154 million, including $136 million of restructuring costs, primarily related to the program we began in the fourth quarter of 2022. Interest expense in the fourth quarter was $231 million, up from $151 million in the fourth quarter of 2023. This increase reflects higher levels of debt as well as $26 million of bridge financing fees associated with the McGriff transaction. Based on our current forecast, we expect interest expense in the first quarter 2025 of approximately $246 million. Our adjusted effective tax rate in the fourth quarter was 21.1% compared with 25.5% in the fourth quarter last year. For the full year 2024, our adjusted effective tax rate was 24.5% compared with 24% in 2023. Excluding discrete items, our adjusted effective tax rate in 2024 was 25.8% compared with 25% in 2023.
When we give forward guidance around our tax rate, we do not project discrete items which can be positive or negative. Based on the current environment, we expect an adjusted effective tax rate of between 25% and 26% in 2025. Turning to capital management. On our balance sheet, we ended the year with total debt of $19.9 billion. Our next scheduled debt maturity is in the first quarter of 2025, when $500 million of senior notes mature. Our cash position at the end of the fourth quarter was $2.4 billion. Uses of cash in the quarter totaled $8.5 billion and included $403 million for dividends and $8.1 billion for acquisitions, including McGriff. For the year, uses of cash totaled $11.8 billion, included $1.5 billion for dividends, $9.4 billion for acquisitions, and $900 million for share repurchase. Looking to 2025, based on our outlook today, we expect to deploy approximately $4.5 billion of capital across dividends, acquisitions and share repurchases.
The ultimate level of share repurchase will depend on how the M&A pipeline develops. As we discussed last quarter, beginning in the first quarter of 2025, we will exclude the impact of acquisition related intangible amortization and the other net benefit credit from adjusted EPS. We provided tables in our fourth quarter earnings release that recast adjusted operating income and adjusted EPS for the past eight quarters on this basis. Turning to 2025. As John noted, we remain positive in our outlook for growth. For 2025, we currently expect mid-single-digit underlying revenue growth, margin expansion and solid growth in adjusted EPS. This outlook contemplates anticipated headwinds from short term interest rate declines, foreign exchange and favorable discrete tax items in 2024. We expect these headwinds will have a more significant impact in the first quarter, which will also reflect a difficult revenue growth comparison versus a year ago. Overall, we are pleased with our performance in 2024. We have momentum across our business and are well-positioned for another strong year in 2025. With that, I'm happy to turn it back to John.
Thank you, Mark. Andrew, we are ready to begin Q&A.
分析師問答
Certainly. We will now begin the question-and-answer session. The operator provided instructions for the Q&A.
Hi, thanks. Good morning. My first question is on margin. So, the margin was flat overall right in the fourth quarter. But earlier in the year you guys had pointed to second half margin improvement being greater than the first half, which didn't transpire. So, I'm just trying to get a sense of what went on with the margins in the second half relative to prior expectations and also specifically the fourth quarter.
Yeah. Good morning, Elyse. I was pleased with our margin expansion for the year. Eighty basis points of margin expansion, our 17th consecutive year. As we've talked about in the past, from quarter to quarter, it'll be different outcomes and really 17 consecutive years just says it's a reflection of our disciplined approach to the way we run our business and it's not a primary objective. Margins are an outcome of the way we run the business and we're going to continue to make attractive investments. They're going to drive medium- to longer-term growth in the company as well. The fourth quarter was impacted by FX. It was also impacted by acquisitions and divestitures, but it wasn't a disappointment. It was a good strong year of margin expansion. And as we guided to for 2025, we expect it to be our 18th consecutive year of margin expansion. And we've got opportunities to continue to focus on the shared infrastructure across the company. We have some opportunities in operations. We've got important workflow optimization efforts happening at Marsh, Mercer and Guy Carpenter and, of course, automation is an important lever for us too. And as we learn and continue to test and experiment around AI we see possibilities there as well. So, we're quite optimistic about the possibilities looking forward. And we were pleased with the outcome in 2024. Do you have a follow up?
Yeah. My second question is on free cash flow. I know you guys typically haven't provided annual guidance, but the growth there was 4% in '24. I think when I look at the CAGR over the past few years it was around 7%. So, both below double-digits. So, I'm not sure if there was anything in '24 that was impacted by McGriff, but anything you could provide just in terms of what impacted free cash flow in '24 and how we should think about growth headwinds and tailwinds in free cash flow in 2025?
Yeah. I don't have a three-year CAGR in front of me, but I know we had north of 20% free cash flow growth in '23 and 4% in 2024. It's obviously not going to trend as a straight line or be as consistent with earnings growth every year, but over time it will. Mark, do you have anything to add there?
Yeah. Free cash flow, we were really pleased with 4%. As John mentioned, we were up 28% last year. So kind of holding that and growing a little bit is not bad. If you look over the last five years, we've doubled free cash flow since 2019. So that has been a very good story for us given the nature of our business. As we've talked about, you would expect free cash flow would track our earnings growth over time and it certainly has over a long stretch; we've had double-digit growth in free cash flow. And as your expectations suggest, we don't typically give guidance because it can be volatile period to period, year to year, but over time it will track and should track in line with our earnings growth and as our guidance suggests, we have an outlook for earnings growth into the future.
Thank you, Elyse. Andrew, next question please.
Certainly. Our next question comes from the line of Jimmy Bhullar with JPMorgan.
Hey, good morning. First, just a question for Mark. I think you mentioned you expect organic growth of mid-single digits in 2025. I think previously you'd been saying mid-single digits or better. So, I'm not sure if I'm reading too much into your comments, or is there a change that you're seeing in any aspect of your business that's making you adjust the language slightly?
Hey Jimmy, it's John. Let me jump in ahead of Mark. First of all, I just want to talk about our strong finish to the year. Seven percent in the fourth quarter underlying revenue growth. Terrific full year revenue growth as well. And the strength was really broad based in the quarter. Marsh 8%. Guy Carpenter is a seasonally small quarter. Put a really good finish to what was an excellent year at Guy Carpenter. Mercer above 5% underlying growth again and a better finishing Career where growth's been a bit soft over the course of the last year or so. And Oliver Wyman had a strong finish too, where we're starting to see some demand pick up. The macros remain largely supportive of growth. Fiduciary income, as we mentioned, is the one real exception to it. But economic growth in most major markets remains resilient. Strong labor markets in most of the economies that we're exposed to. Of course, there are a lot of risks out there, big geopolitical risks, uncertainty around tariffs and potential trade wars.
As I talked about, the frequency of extreme weather impacts economies around the world as well. And then, risks around technology and other areas. But those are areas that we help our clients and give them advice so that they can invest with a level of confidence. So, we're optimistic about growth for 2025. I wouldn't read much into the phrasing. We feel like we're well-positioned. We continue to invest and shape the mix of our business. McGriff coming in and then admin businesses at Mercer going out in 2024 would be a good example of our focus there. And so, our team's highly engaged and we're executing well. So, we feel good entering 2025.
And just on McGriff, should we assume that it actually is a positive for your organic growth beyond '25, just given their market focus and the fact that they'll be part of a larger platform. So maybe they could do a little bit better than they might have done in the past, or should we not expect much of an impact on their or your growth as a result?
We're excited about McGriff. As Mark noted, from an earnings point of view, it'll be slightly dilutive to us or modestly dilutive to us early in the year, but accretive over the full year and more so in '26 and beyond. So far, so good in terms of the integration. Culturally, things seem to be going well. McGriff's a business that we've admired for a long time as a competitor. We knew there were going to be a few big assets in the market in 2024. And McGriff was the business that we wanted. And it doesn't just make us bigger, they make us better. They've got terrific talent and leadership. As I talked about, they've got some real specialty capabilities and it extends our reach into the middle market where we're quite focused on bringing scale benefits to that segment of the market. So, we're excited about McGriff. Thank you, Jimmy. Andrew, next question, please.
Our next question comes from the line of Alex Scott with Barclays.
Hey, good morning. First one I have for you is on Marsh. I just want to see if you could help us unpack the strong organic growth. I mean, just with rates in the US being more flattish, I'm guessing most of that came from growth in the book and was just interested if you had any comments on new business versus retention. Maybe just helping us understand the underlying dynamics where you're winning.
Sure. Alex, again, really strong finish. I'll ask Martin to comment in a second here. We're really well-positioned. In terms of rates, I would say we're most exposed to pricing through commission in the middle market. So it's a subset of our business overall. So it's an impact. It does have an impact. Of course, pricing does, but we have a lot of fee-based business as well. Mark commented on the notable pickup in M&A activity in the quarter that certainly helped with growth in the quarter and we see a more positive environment there going forward as well. But Martin, maybe you could share a little bit more color on the broad-based growth we had at Marsh in the quarter.
Of course, John. So, we had a great year in 2024, 7% on top of 8% in 2023. Good balance of growth throughout the globe with international at 8% and US and Canada at 7%. Looking at Q4, revenue was up 8%, which is a reacceleration from Q3. That signifies the 16th consecutive quarter of 6% or better underlying growth. US and Canada had a very good year with growth of 7%, consistent with the full year underlying growth, and for the fourth quarter 8%, which is supported by improvement in retention and losses as well as a better balance of recurring business. The US business is also beginning to see some green shoots from deal activity and capital markets. However, we continue to see rate pressure on financial lines to offset that. International had a terrific year. Underlying growth of 8% with consistent strength in EMEA and Latin America for both the full year and the quarter. Asia-Pacific continues to show some signs of moderation with solid growth at 5%. We've got great talent in all the markets, we've been investing well, and we're extremely well positioned for the future. So, we feel very good about that.
Perfect. Thank you. It was a strong finish. Alex, do you have a follow up?
Yeah, I do. The other question I wanted to ask you all is on the potential for M&A, IPOs, et cetera, to have the environment improve more activity. As I think across your businesses, can you help us think through the different ways that that benefits you? And is there any way you can help us frame the kind of impact that that would have on organic growth if we do have a return of that kind of activity?
We're not going to report out separately around M&A or IPO activity, but we have important capabilities across the firm. At Marsh, Mercer and Oliver Wyman in particular, of course Guy Carpenter is almost entirely focused on the insurance industry, but we help with different levels of due diligence. We have a suite of products that can help facilitate transactions when there might be some terms that need to be settled between buyer and seller. So, it's an important capability set that we bring to our clients. And it's obviously an important moment when a company is selling itself or divesting a business. And then, of course, on the buy side, meaningful investment. Those are important moments where we can really distinguish ourselves and show the overall strength of our company. So, it's an important capability. As we noted, we saw a pickup in M&A activity in the fourth quarter. We'll see what 2025 brings. I know a couple of IPOs have been out in the market, not sure we're ready to declare a giant IPO year in 2025, but we'll see. It's an important capability. We distribute through a range of investors. We stay close to our corporate clients, of course, and spend a lot of time with law firms as well to support our clients' efforts to invest. Thank you, Alex. Andrew, next question please.
Our next question comes from the line of David Motemaden with Evercore ISI.
Hey, thanks. Good morning. I had just a question more prospectively just on the market and obviously the wildfire is still very early days. But I'm wondering if you guys are seeing any impact on both the primary and reinsurance property markets and what your outlook is there given an over $30 billion insured loss.
Thanks, David. Maybe I'll make a couple of comments and then I'll ask Dean and Martin to talk about what they're seeing in the market, which I think highlight is not a lot in terms of market impact at this point. But as I noted in my prepared remarks, just absolutely devastating events in Southern California. Our focus is on helping our colleagues and our clients recover. It's going to be a long road back and we're going to support them along the way. We're helping with relocation of families, beginning to think about claims preparation and filing claims with insurers and then the rebuilding effort. I would say that our exposure as a business is primarily as an advisor to high-net-worth homeowners. So it's a limited view in that perspective and not overall that impactful to Marsh McLennan from a financial perspective. But as a major risk advisor, we certainly have something to say about the future and efforts to build back with greater resilience.
I would say reading lots of comments about how to support the FAIR plan or how to create subsidies for insurance, candidly that's the wrong conversation. The conversation we should be having really is about building greater resilience into these communities rather than trying to find ways to subsidize insurance. That will lead to better outcomes for homeowners and residents of Southern California and other catastrophe-prone areas over time. Important steps need to be taken so that we're not in the same sad and devastating place again sometime soon. With that, Dean, maybe you could talk about what you're seeing so far in the reinsurance market and then we'll have Martin comment on the insurance market.
Thanks, John. David, from a reinsurance perspective, as John noted, we're first and foremost committed to supporting our clients as they navigate the complexity of this loss. Guy Carpenter has formed a dedicated wildfire taskforce comprised of our best meteorologists, catastrophe modelers, analytics, claims colleagues, and brokers. We're fully engaging with our clients to give them insights so they can better assess the magnitude of the loss. It's clear that many of our reinsurance clients will have losses resulting in claims to the reinsurance programs. As John noted, industry estimates expect the loss to exceed $30 billion, although we've seen bigger numbers reported in the market. The impact on the reinsurance market is uncertain at this time and will certainly depend on the ultimate magnitude of the reinsurance loss. But I would say at this stage the risk-adjusted rate reductions that we witnessed at January 1st could certainly be tempered moving forward as we go into the April 1st renewal season.
Thanks, Dean. Martin, any thoughts?
Yeah. The overall rates came down 2% in the fourth quarter. You have to put that in context. It's focused on a large account segment and it's gone up one and a half times since 2012. We did see some rate decreases in property book in the last quarter and slowdown across the world. It's really too early to say what this impact is going to have. It's not a big commercial event for our clients. I think we're going to have to wait and see. Our focus is really on making sure that our colleagues and our clients are supported and that we're providing the right advice for our high-net-worth clients as they think about resilience and building forward. So not market hysteria, that's for sure.
David, as you know, the California homeowners market was under real stress before these events. And so again, it just underscores the critical need to build better resilience into these communities. Do you have a follow up?
I do, yeah. And thanks for that answer. So, just switching gears to consulting and the health business within Mercer. Could you help me think through the underlying growth deceleration? I know the comp got a little bit more difficult, but I was surprised to see the 5% growth. I think it's the lowest it's been since 2021. And I know John, you mentioned health costs still increasing. I think it was 11% was the expectation in '25. So, could you help me think through the deceleration there, and how you guys are thinking about growth as we go into '25?
Sure, David. I'll ask Pat to comment in a second. I would say we're not necessarily exposed directly to those cost increases that I spoke about in my prepared remarks. So it was mostly raising those issues around the critical nature of the advice that we provide to employers where you have employer-sponsored care or supplemental care in other markets around the world outside of the United States. Obviously, inflation and broader cost increases are a real source of stress for employers around the world and for economies as well. It underscores the critical nature of the advice we provide. Pat, maybe you could talk about the results in 2024 and a little bit of our outlook in health.
Sure. And thanks for the question. Overall for Mercer, I just want to start that we're pleased with our Q4 underlying growth of 5%. It's our 15th consecutive quarter with 5% or more growth and also really pleased that all the practices are contributing to that growth. Full year results of 5% highlight the resilience and consistency of our business during uncertain and volatile times, and really underscore the continued relevance of our solutions in helping our clients. Specifically on health, health grew 5% in the fourth quarter and 8% for the full year. The performance was broad-based across regions and it comes from a few different things: our continued hiring of new talent, our focus on thought leadership — John highlighted a few pieces during his opening around our national survey of employer-sponsored health plans, our 2025 health trends report, our people risk survey. We've also been expanding our digital tools.
We're now in 102 countries with those digital tools and we've got a real focus on client segmentation to make sure that we can match client healthcare needs with innovative and tailored solutions for large market, mid-market and global multinationals. We think we continue to see some tailwinds from continued high employment rates, regulatory changes and then, obviously, medical cost inflation — all of which drives clients' focus on affordability and access to quality healthcare for their employees. Collaboration across the firm continues to support our growth momentum. From quarter-to-quarter we can have variability including one-offs in timing, but we believe our full year growth is much more reflective of our performance. We maintain a positive outlook and anticipate our growth momentum will continue due to the strong value proposition we offer clients and the strong ongoing demand for our expertise.
Higher medical inflation drives up health and benefits costs for employers. While we don't directly see the full impact of inflation on our revenue, higher medical costs do drive demand for fee-based plan design work and projects to help clients mitigate cost escalation and its impact on their workforces.
Thanks, Pat. And I would note that Oliver Wyman does a lot of important work in the industry as well. Thank you, David, for the questions. Andrew, next question please.
Our next question comes from the line of Greg Peters with Raymond James.
Good morning, everyone. Can I go back to the comments on McGriff? I think you mentioned $450 million to $500 million in total retention incentives that are going to be somehow flowing through or recaptured. I guess, the reason why I'm triggered by this as I look at your income statement, I see the $60 million of acquisition retention related costs that go into the adjustments. So, just trying to map out what I should think about in terms of the adjustments as I think about '25.
Yeah. Sure, Greg. I'll ask Mark to jump in for a second. But of course, retention is a critical part of any acquisition we do. We had a meaningful seller-funded retention plan that was put in place to help our transaction. Mark, maybe you could talk on the cost specifics.
So, as I said, we expect $450 million to $500 million of noteworthy charges in total over the next three years. Even though retention isn't solely the cost, that will be the biggest chunk. What you're seeing come through in the fourth quarter is actually the beginning of amortization of those retentions and some bridge financing fees. It is important to recognize that a healthy amount of that retention was put in place by the seller and was funded through a purchase price adjustment. But it has to be amortized and flow through our financial statements. That's why we'll consider it noteworthy.
I do have a follow up. Just keeping in the adjustment category. For the full year, I think you recorded $148 million of restructuring charges. That's risk and insurance, total $276. Is the restructuring charges that we think about for '25, is it going to be exclusive or independent of what's going on in McGriff and what kind of restructuring charges are you expecting in '25?
Sure. 2024 was — as Mark noted — we wrapped up our restructuring program. But Mark, maybe you could share outlook for '25.
So, we're really happy with the execution of the restructuring program we started back in 2022 and it's a big driver of the margin expansion that we've seen and definitely contributed to our earnings growth. But that program is essentially closed at this point. The remaining charges were in the fourth quarter. As you look forward, the largest piece of noteworthy items coming through will be related to McGriff. From time to time we'll have things like true-ups to earnouts and some other items that will go through, but in terms of major programs, it's really McGriff at this point.
Thank you.
Thanks, Greg. Appreciate the questions. Andrew, our next question, please.
Our next question comes from the line of Michael Zaremski with BMO Capital Markets.
Hey, morning. Going back to the organic or just mid-single-digit growth commentary that you made, John, in the prepared remarks, I know I heard your answer to Jimmy was don't read into it. But I guess we're analysts, we're going to try to read into it still. The last few years at least you said mid-single-digit or greater. So, is there — did something maybe change in the planning process for '25 that we'll see in a proxy or I guess just also like now you told us the Marsh index, pricing index is down too. And so, I'm assuming there's some sensitivity to your revenues from it being kind of a softish market for a while in the large account marketplace. So maybe that's kind of playing into your prepared remarks.
No, thanks, Mike. I appreciate the question. I think where we're most exposed to P&C pricing is in the middle market and middle market pricing tends to be more stable. I don't think that's a major factor. The primary issue is fiduciary income. It's an uncertain outlook. Mark shared some insights on what we thought the first quarter headwinds would be like. We'll see from here. Obviously, inflation has remained stickier than most central banks would like, certainly here in the United States. But I think there's some potential volatility from some of the steps that the new administration is taking around trade and tariffs. We'll see what that means. But fiduciary income really is the primary driver.
Got it. And quick follow up also on — probably for Mark on capital. So, the $4.5 billion of deploy guide for '25 and no change year-over-year. I'm assuming most of that is just due to charges to integrate McGriff or are there other material moving pieces we should be thinking about?
The outlook for capital deployment of $4.5 billion, we're really happy with that outlook. If you think back to last year, we spent close to $12 billion and we had built up a significant amount of flexibility and that was certainly a lot more than we had planned coming into the year. But to be looking at a year, having done all of that and be looking at 2025 as a normal year of capital deployment and still have a lot of flexibility to do M&A, pay dividends and buy back stock is just a great position to be in. So, we feel really good about where we are.
Largest deal in our history in McGriff, two top 100 agencies, Cardano, Vanguard's OCIO business. And we've got $4.5 billion to deploy. It speaks to the cash flow generation of the company and the strength of our franchise. I would add that we're quite active in the M&A market and we have a great brand and reputation in that market, which is important in people businesses. Of course, we do have the ability to do bigger deals if the right deal presents itself. I think we're more likely to continue our string-of-pearls strategy that's served us well and we're likely to bring our leverage back down. But Mark and I both talked about wanting to retain the flexibility to strike when it makes sense. Thank you, Mike. Andrew, next question please.
Our next question comes from the line of Meyer Shields with KBW.
Great. Thanks, and good morning. John, I want to follow up on the point that you just made. Does the effort required to integrate McGriff impede the ability to do big deals in the United States, either overall or with an MMA? Just management effort in the integration?
I'm not sure I understand. Impede for what reason? There's always going to be some capacity constraint around management time and attention. These are people businesses, so social and cultural integration are important. We won't make major mistakes; we've been very successful and have been a consolidator for much of our 150-plus year history. We're more likely to continue our string-of-pearls strategy, but we do have the ability to do something bigger. MMA and Dave's team have a lot of experience in doing integrations. We often have long-standing relationships with target firms, so we're not meeting them for the first time when we welcome them to the family. Do you have a follow up, Meyer?
Yeah. Just a quick one. Mark mentioned that there was a difficult organic growth comp coming up and I just wanted to dig in a little bit. I know other brokers have talked about that as well. Was there something in last year's first quarter revenues that are less recurring than the typical book?
No, not at all. We have some unusual headwinds in the first quarter: FX, tax, and seasonality with McGriff's revenue in the first quarter being a bit seasonally light. We do have fiduciary income headwinds as well, but we're planning on that persisting through the year. So no, nothing unusual about the prior year's first quarter beyond a tougher comparison and those headwinds.
Okay, perfect. Thank you.
Thank you, Meyer. Andrew, another question please.
Certainly. Our next question comes from the line of Rob Cox with Goldman Sachs.
Hey, thanks. Good morning. My first question was a bit of a bigger picture question for you, John. A large insurer recently highlighted a secular shift in the small and middle market where more premiums are flowing to a smaller number of middle market insurers, kind of based on their scale and data and analytics advantages. I'm curious if you agree with that trend and if you could talk about what that trend means for Marsh growth opportunities.
I'm not sure I'm familiar with those comments, so I want to be careful about commenting on what somebody else might say. Do I think scale matters? Yes. Scale matters in our business for intermediaries and underwriters. Data matters. The ability to develop broader insights and have diversification of risk on both the asset and liability side of a balance sheet all matter. Through Marsh, we originate more risk than just about anybody globally. In the middle market in the United States, MMA will be on a standalone basis the fifth largest broker. Our ability to trade with some of the larger insurers and bring innovative solutions to the middle market is compelling. One of the things we find so attractive about the middle market is our ability to bring scale benefits to that segment, and that matters to those customers. To the extent an insurer can bring similar scale benefits, that matters as well. Do you have a follow up, Rob?
Yeah. And just for clarification, I mean, I think the comments were meant to imply that more market share is going to larger insurers. And I would think that that might be a benefit for Marsh as you have relationships with those larger insurers.
Got it, thank you. Do you have a follow up?
Yeah. The follow up, appreciate no specific guidance on McGriff margins, but I was hoping you could give us some rough insight into whether you expect the acquisition to be directionally additive or dilutive to margins in 2025, and if you think there's an above average opportunity to expand those McGriff margins over time.
I think we mentioned this last quarter. McGriff was a carve-out and the possibilities around McGriff are not built around meaningful expense synergies. But scale matters not just to our clients, it matters for our colleagues because we can give them tools, data, insights and technology that others can't. It matters to shareholders as well. We expect to bring scale benefits to all three. We're excited about what McGriff will mean to adjusted EPS later in 2025 and more meaningfully in 2026 and 2027.
End of Q&A. We will now conclude the question-and-answer session.
So, thank you, Rob. With that, Andrew, we've got to wrap up. We're past the bottom of the hour. Thank you. I want to thank everyone for joining us on the call this morning. And I also want to thank our colleagues for their hard work and their dedication. I also want to thank all of our clients for their continued support and confidence in Marsh McLennan. Thanks again to everyone, and we look forward to speaking with you all again next quarter. Thank you, Andrew.