Guatemala

Clinical Trial Application	Guatemala Clinical Trial Quote Request Guatemala IVE Formulario
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 and Spanish • Protocol Title in Spanish • Local Legal Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address) • Guatemala IVE Formulario must be completed by a Guatemalan entity/local legal representative • No refund for policy cancellation

Clinical Trial Application	Malaysia Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	Around 2.300.000 MYR/patient Up to 9.300.000 MYR/protocol 75.000 MYR/each claim
Tail Coverage	1 year
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Local CRO or Legal Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address) • No refund for policy cancellation - Certificate and policy will be issued in the name of the local representative