Germany

Clinical Trial Application	Germany Clinical Trial Quote Request Germany Business Travel Accident Application (OPTIONAL) Clinical Trials Quote Request Go to Form
Mandated Coverage	Yes - Local Policy Required
Standard Limits	500.000 €/patient is typically mandatory 5 to 50.000.000 €/protocol (varies and is dependent upon review by the carrier and often driven at the request of the Ethics Committee)
Tail Coverage	5 years for the damage 10 years for the claim
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in German • Provide EudraCT Number for Drug studies or EUDAMED No. for Medical Device studies, if not already included in Protocol - When the trial is completed, both the number of treated and the number of screened patients are required by the carrier and this may result in additional premium If you need to obtain a Germany Business Travel Accident policy, please note the process is VERY slow to obtain the certificate and policies so please allow plenty of time. In addition to the completed Travel Accident application, please provide the number of trips each subject will make.

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"