Australia

Australia

Australia

Australia

Clinical Trial Application

Australia Clinical Trial Quote Request

Mandated Coverage

No, but is typically preferred by EC

Standard Limits

AUD 10M or AUD 20M depending on territory where study is taking place.

PLEASE CONFIRM WITH YOUR CRO for limit required

Tail Coverage

12 months but 72 months in respect of Western Australia and/or Queensland.

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Local CRO or Institution name (Contact Person Name, Address, Telephone Number and E-Mail Address)
• Local CRO GST (Goods and Services Tax) Number. ABN (Australian Business Number) is also sufficient

If Sponsor has a local entity to be listed without the Local CRO on policy, a Goods & Services Tax (GST) will be required for the local sponsor entity. If none available, there is a tax implication. The same trial in New Zealand can be added to this policy for additional premium. Please check with your CRO beforehand to advise if a shared policy is acceptable.

Ukraine

Ukraine

Clinical Trial Application

Ukraine Clinical Trial Quote Request

Clinical Trials Quote Request

Mandated Coverage

Yes

Standard Limits

Limit per protocol = 10.000 USD x number of patients

Tail Coverage

3 years

Data Required to Quote

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