Bulgaria

Bulgaria

Bulgaria

Bulgaria

Clinical Trial Application

Bulgaria Clinical Trial Quote Request

Clinical Trials Quote Request

Mandated Coverage

Yes

Standard Limits

50.000 BGN/patient
1.000.000 BGN/protocol

Tail Coverage

1 year

Data Required to Quote


• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Bulgarian
• Site List in Bulgarian and English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code
• Local CRO details (Contact Person Name, Address, Telephone Number and E-Mail Address)

Once coverage is bound and Policy documents are issued to the Sponsor, Sponsor must review for accuracy, sign and then mail original wet-inked documents to the carrier. Carrier will countersign and send to Local CRO along with the Certificates.
Newfront will provide the carrier contact information separately for mailing documentation.

Ecuador

Ecuador

Clinical Trial Application

Ecuador Clinical Trial Quote Request

Ecuador Know Your Customer Form

Mandated Coverage

Yes

Standard Limits

n/a

Tail Coverage

n/a

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Spanish
• Local Legal Representative/CRO details (Contact Person Name, Telephone Number and E-mail Address) and RUC number (Ecuadorian Tax ID)
• No refund for policy cancellation

- CRO or Local Legal Representative must provide the completed "Know Your Customer Form"