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

Malaysia

Malaysia

Clinical Trial Application

Malaysia Clinical Trial Quote Request

Mandated Coverage

Yes

Standard Limits

Around 2.300.000 MYR/patient
Up to 9.300.000 MYR/protocol
75.000 MYR/each claim

Tail Coverage

1 year

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Local CRO or Legal Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address)
• No refund for policy cancellation

- Certificate and policy will be issued in the name of the local representative