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	Ghana Clinical Trial Quote Request Clinicals Trial Quote Request
Mandated Coverage	Yes. However, some Ethics Committees may accept evidence of your company's Master Product Liability/Clinical Trials policy. We recommend providing this evidence before securing a quote for local admitted clinical trials coverage in Ghana.
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	THE PROCESS IN GHANA IS SLOW. PLEASE ALLOW UP TO TWO MONTHS FOR DOCUMENTS TO BE PROCESSED. Please provide all documentation outlined below otherwise the process is further delayed. • Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Local CRO/Legal Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address) • Complete a "Know Your Client" (KYC) application form. ABD to provide separately Premium payment directly to carrier is due in advance of release of policy documents