| Clinical Trial Application | |
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| Mandated Coverage | |
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| Standard Limits | 1.000.000 €/patient
6.000.000 €/protocol
10.000.000 €/year |
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| Tail Coverage | |
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| Data Required to Quote | • Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in French
• Site List in English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code. This information is for the carrier files only. Will not be listed on the policy documents.
• Local CRO or EU Representative details (Contact Person Name and Telephone Number). Will be referenced on the Policy declaration page and the Certificate
• Provide EudraCT Number for Drug studies or EUDAMED No. for Medical Device studies, if not already included in Protocol |
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