Egypt

Egypt

Egypt

Egypt

Clinical Trial Application

Egypt Clinical Trial Quote Request
Clinical Trials Quote Request

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
• Sponsor to provide completed Know Your Country (KYC) form (Newfront to provide separately)
• Local CRO or Local Representative details (Contact Person Name and Telephone Number). If there is no local Representative, then please provide the contact details of any site/hospital participating in the trial

- Premium is paid directly to the carrier within 14 days of receipt of invoice
- No refund for policy cancellation

Policy and certificate typically take up to 3-4 weeks for carrier to process so please note this time frame in the submission process

Belgium

Belgium

Clinical Trial Application

Belgium Clinical Trial Quote Request

Clinical Trials Quote Request

Mandated Coverage

Yes

Standard Limits

Between 400.000 and 600.000 €/patient
Between 3.000.000 and 5.000.000 €/protocol

Tail Coverage

3 years

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in French
• Local EU Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address). Not required if Sponsor is domiciled in the EU.