Brazil

Brazil

Brazil

Brazil

Clinical Trial Application

Brazil Clinical Trial Quote Request

Mandated Coverage

Yes


Please confirm with CRO if your study requires coverage for Pregnant partners and unborn child before making a submission in this portal. If this is required, your CRO will need to obtain coverage on your behalf.

Standard Limits

Between 1.000.000 and 5.000.000 USD for the whole duration of the protocol

Tail Coverage

n/a

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Portuguese
• Brazilian Tax ID (CNPJ number)
• Legal Representative in Brazil or Local CRO details (Contact Person Name, Address, Telephone Number and E-Mail Address)


No refund for policy cancellation

PLEASE READ:
In addition to Sponsor binding approval, the Local Broker will issue the local quotation to the Brazilian CRO/Entity for confirmation of binding. Sponsor to follow-up with CRO to confirm binding and relay back to ABD.
THE PROCESS TO ISSUE DOCUMENTS IS SLOW. PLEASE ALLOW ENOUGH TIME AS WE ARE NOT ABLE TO EXPEDITE DOCUMENTS. It is very SLOW due to all of the intermediaries involved.
Please allow a minimum 2 months before receipt of documentation.
Brazil can take 7-10 days to receive quote and about 4-6 weeks to receive the documentation.
Please allocate this additional time into your submission process. Submission should be made to ABD at least one month before documents are required.

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