United Arab Emirates

United Arab Emirates

United Arab Emirates

United Arab Emirates

Clinical Trial Application

n/a

Mandated Coverage

Yes

Standard Limits

USD 2,000,000

Tail Coverage

12 months

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form
• Local CRO/Legal Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address)

o Legal Representative details of the Sponsor in UAE to include authenticated documents proving ownership e.g. complete T/L, Share Certificate, Share Register, MOA, AOA, Annual Report, Ownership Chart etc. The document must clearly show the ownership % or holding shares and if there is any entity in the ownership pattern who holds >25% shareholding, futher ownership docs are required until the natural person with owning or controlling interests of >25% are identified.

o Completed KYC AML form

Belarus

Belarus

Clinical Trial Application

Belarus Clinical Trial Quote Request

Clinical Trials Quote Request

Mandated Coverage

Yes. Only one state insurance carrier in Belarus.

Standard Limits

20.000 €/patient
Limit per protocol = 20.000 x number of patients

Tail Coverage

n/a

Data Required to Quote

• Clinical Trial Quote Request
• LAST Protocol and Informed Consent Form in Russian
• Patient Information Sheet in Russian
• Investigator Brochure in Russian
• Local CRO details (Contact Person Name, Address, Telephone Number and E-Mail Address)
• Sponsor Banking Details or Premium Wire Confirmation
• Three (3) years of claims history for harm caused or reimbursement of injured parties while carrying out clinical studies in Belarus. If no claims, please provide the following on your company letterhead, signed and dated: "We confirm that in the last three years (name of Sponsor) did not incur any claims related to clinical trials."
• Site List of clinical sites in Belarus, if the MoH approval letter is unavailable

Please allow additional time for processing. Typically up to 3 weeks for issuance of documents

Belarus requires payment and payment confirmation documentation PRIOR to release of certificate. No refund for policy cancellation. A letter of guarantee can be provided in order to obtain the necessary MoH approval.