Chile

Clinical Trial Application	Chile Clinical Trial Quote Request
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 details (Contact Person Name, Address, Telephone Number, E-Mail Address) and RUT number • No refund for policy cancellation Please allow 2 weeks for receipt of documents.

Clinical Trial Application	Bosnia Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Unknown
Standard Limits	650,000 USD Per Patient/ 4,000,000 USD Per Trial (if issued by a local insurer)
Tail Coverage	5 years
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Bosnian • Site List in English and Bosnian, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code No refund for policy cancellation