Why is CIGNA not on the list of approved medical insurance companies for O-A visa renewal in Thailand?

The concern regarding CIGNA's absence from the list of approved medical insurance companies for O-A visa renewals in Thailand stems from its previous approval as a local entity which has now ceased operations. Consequently, only CIGNA Global, which is not recognized by Thai immigration, remains. The community discussion suggests alternatives to the O-A visa route to avoid complications. Some members propose switching to a tourist visa and then applying for an O visa, while others share experiences about the difficulties surrounding the insurance requirements. Additionally, it was mentioned that immigration may accept CIGNA under special circumstances, including additional fees. Overall, the conversation reflects frustration with the current system and hints at perceived inconsistencies in insurance approvals.