UnitedHealth Group Inc. will spend about $4.9 billion to buy a majority stake in a Brazilian health benefits and care provider, as the largest U.S. health insurer leaps into an international market it says is primed for growth.

UnitedHealth, based in Minnetonka, Minn., said Monday that it will pay cash for about 90 percent of the outstanding shares of Amil Participacoes SA. The Brazilian company provides health and dental benefits and runs a care delivery network that includes 22 hospitals, about 50 clinics. It serves more than 5 million people.

UnitedHealth currently operates in 70 countries, and its services include expatriate coverage for people living outside their home countries. But company spokesman Don Nathan said it had only a "very small" presence in Brazil before this deal.

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