Argentina

Argentina Clinical Trial Quote Request

Yes.

Please confirm with CRO if your study requires coverage for Pregnant partners and unborn child before making a submission in this portal. If this is required, please note that this process takes longer.

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• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Spanish
• Site List in Spanish, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code
• Local Legal Representative details (Contact Person Name, Address, Telephone Number, E-Mail Address) and C.U.I.T number. This person will be very involved in the insurance process and will receive the insurance documents.
• If pregnant partner coverage is required please supply pregnant partner ICF

No refund for policy cancellation

The process is SLOW in Argentina so please allow additional time.

Ukraine Clinical Trial Quote Request

Clinical Trials Quote Request

Yes

Limit per protocol = 10.000 USD x number of patients

3 years

The process is SLOW. Please allow additional time for processing. Typically up to 3 weeks

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Ukrainian
• Certificate of Incorporation of Sponsor (for new Sponsors in Ukraine only)
• Name and Title of Authorized Signatory who will countersign policy
• Name of document which gives the Signatory the authorization to countersign the policy. (i.e. Charter, Power of Attorney, Resolution by the Board of Directors)

- Ukraine requires payment and payment confirmation documentation PRIOR to release of certificate
- No refund for policy cancellation
- Original documents are not required to be delivered to the local CRO. Only require copy of the Certificate which is issued by the carrier once the premium has been received