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	Peru Clinical Trial Quote Request
Mandated Coverage	No, but may be required by EC
Standard Limits	Provided by US Global Policy Between 2.000.000 and 5.000.000 USD/protocol for local admitted policy
Tail Coverage	Usually 2 years for local admitted policy
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Spanish • Sponsor Federal ID Number (Company Registration Number) or Sponsor's FEIN • No refund for policy cancellation The process is slower, please allow additional time for receipt of documentation. Typical turnaround is 1-2 weeks.