China

Clinical Trial Application	China Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	Unknown
Tail Coverage	3 months
Data Required to Quote	THE PROCESS TO ISSUE DOCUMENTS IS SLOW. China is a cash for cover country, meaning payment must be made PRIOR to the release of documentation. Please allow 2-3 weeks for documentation to be issued • Clinical Trial Quote Request Form • Protocol and Informed Consent in English • Protocol Title in Chinese • Legal Representative or Local CRO contact information (Contact Person Name, Address, Telephone Number and E-Mail Address). The Legal Representative is named on the Policy. The Sponsor is the Additional Insured • Provide the Business License of Sponsor • Provide the Business License pf Chinese CRO • Provide the ID Copy of representative of Chinese CRO • Premium payments are paid directly by the Sponsor to the carrier. No refund for policy cancellation • Only Policies are typically issued in China. If the EC requests a Certificate to be issued, the Insurer will provide

Clinical Trial Application	Portugal Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes
Standard Limits	100.000 €/patient 2 to 5.000.000 €/protocol
Tail Coverage	2 years
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Portuguese • Tax Identification Number (TIN) of the sponsor • Site List in Portuguese, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code