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"

Turkey

Turkey

Clinical Trial Application

Turkey Clinical Trial Quote Request

Clinical Trials Quote Request

Mandated Coverage

Yes

Standard Limits

€200,000 per patient
€2,000,000 per protocol

Tail Coverage

3 years increasing to 5 years for trials involving children and/or recombinant biologics/gene therapy, radiopharmaceutical IMPs

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Turkish
• Local CRO details (Contact Person Name, Address, Telephone Number and E-mail Address)

- Carrier sends signed policy documents directly to the CRO - no signatures from Sponsor required
- Only a Policy is issued in Turkey