Belgium

Clinical Trial Application	Belgium Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes
Standard Limits	Between 400.000 and 600.000 €/patient Between 3.000.000 and 5.000.000 €/protocol
Tail Coverage	3 years
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in French • Local EU Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address). Not required if Sponsor is domiciled in the EU.

Clinical Trial Application	China Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	Unknown
Tail Coverage	3 months
Data Required to Quote	THE PROCESS TO ISSUE DOCUMENTS IS SLOW. China is a cash for cover country, meaning payment must be made PRIOR to the release of documentation. Please allow 2-3 weeks for documentation to be issued • Clinical Trial Quote Request Form • Protocol and Informed Consent in English • Protocol Title in Chinese • Legal Representative or Local CRO contact information (Contact Person Name, Address, Telephone Number and E-Mail Address). The Legal Representative is named on the Policy. The Sponsor is the Additional Insured • Provide the Business License of Sponsor • Provide the Business License pf Chinese CRO • Provide the ID Copy of representative of Chinese CRO • Premium payments are paid directly by the Sponsor to the carrier. No refund for policy cancellation • Only Policies are typically issued in China. If the EC requests a Certificate to be issued, the Insurer will provide