Dominican Republic

Clinical Trial Application	Dominican Republic Clinical Trial Quote Request Dominican Republic Due Diligence Form - Spanish (Persona Juridica)
Mandated Coverage	Yes and No. Clinical Trial Insurance is not compulsory, however, it is made mandatory as part of the MoH submission.
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 • Legal Representative in Dominican Republic or Local CRO details (Contact Person Name, Address, Telephone Number and E-Mail Address) • No refund for policy cancellation Due to strict Anti-Money Laundering laws, the Legal Representative (typically your local CRO) will be responsible for providing the following documents: (i) Due Diligence Form, available in Spanish only (to be completed by US Sponsor and each named insured, including additional insureds) (ii) Fiscal ID certificate (iii) Mercantile Registry (iv) ID of the person acting on behalf of the Legal Representative (v) Certificate of final beneficiary Process in the Dominican Republic is SLOW, so please allow for additional time - minimum 1 month before receipt of documentation after binding coverage

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.