Ethiopia

Clinical Trial Application	Ethiopia Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Unknown. Please confirm with CRO if local admitted clinical trial insurance is required.
Standard Limits	Unknown
Tail Coverage	Unknown
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Local CRO details (Contact Person Name, Telephone Number and E-mail Address) • Premium payment is due and payable in advance of receiving policy documents • No refund for policy cancellation

Clinical Trial Application	Zambia Clinical Trial Quote Request Clinical Trials Quote Request
Mandated Coverage	Yes
Standard Limits	Unknown
Tail Coverage	Unknown
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Legal representative details of the Zambia Sponsor (name, address, email, telephone number) • Hold Harmless and Claims Cut-Through Clause signed by Sponsor (to be provided separately by the carrier)