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	Croatia Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes, but conditions are not defined by the local law
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 Croatian • Site List in Croatian 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) - Policy and Certificate to be countersigned by Sponsor and carrier will deliver to local CRO