Ecuador

Ecuador

Ecuador

Ecuador

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"

South Korea

South Korea

Clinical Trial Application

South Korea Clinical Trial Quote Request

Mandated Coverage

Yes

Standard Limits

n/a

Tail Coverage

1 year

Data Required to Quote

THE PROCESS TO ISSUE DOCUMENTS IS SLOW. PLEASE ALLOW ENOUGH TIME AS WE ARE NOT ABLE TO EXPEDITE DOCUMENTS. It is very SLOW due to all of the intermediaries involved. Please allow for additional time - a minimum of 2 months before receipt of documentation


• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Local CRO/Legal Representative details (Contact Person Full Name, Address, Telephone Number, E-Mail Address), Local company Code/Registration CRO provides upon request

- Please note that the Local CRO/Legal Representative is the Policyholder. All insurance documents must be first issued to the Local CRO directly for review and acceptance before release to the Sponsor
- A separate pre-filled application will be provided for dating/signing to the Legal Representative in South Korea upon receipt of premium payment
- Premium payment and confirmation must be made PRIOR to receipt of policy
- Separate Fee for South Korea broker intermediary
- South Korea only requires a Policy; a Certificate is only provided upon request
- No refund for policy cancellation