India

India

India

India

Clinical Trial Application

India Specific Clinical Trial Quote Request

Mandated Coverage

Yes

Standard Limits

From 1 to 5 Million USD in aggregate

Tail Coverage

6 months (up to 1 year available for an additional premium)

Data Required to Quote

• Country-specific Application and Application must be printed and signed PRIOR to binding coverage
• Protocol and Informed Consent Form in English
• A local entity must be named as the Policyholder (Investigator or CRO)

- No refund for policy cancellation
- India requires payment to the carrier PRIOR to release of certificate

To bind coverage:
• provide Permanent Account Number (PAN) of the Local CRO. PAN number is a ten-digit alphanumeric number, issued in the form of a laminated card by the Income Tax Department
• provide Good and Services Tax (GST) number of the Local CRO

Please allow additional time for processing. Please allow at least one month before issuance of policy documents

Australia

Australia

Clinical Trial Application

Australia Clinical Trial Quote Request

Mandated Coverage

No, but is typically preferred by EC

Standard Limits

AUD 10M or AUD 20M depending on territory where study is taking place.

PLEASE CONFIRM WITH YOUR CRO for limit required

Tail Coverage

12 months but 72 months in respect of Western Australia and/or Queensland.

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Local CRO or Institution name (Contact Person Name, Address, Telephone Number and E-Mail Address)
• Local CRO GST (Goods and Services Tax) Number. ABN (Australian Business Number) is also sufficient

If Sponsor has a local entity to be listed without the Local CRO on policy, a Goods & Services Tax (GST) will be required for the local sponsor entity. If none available, there is a tax implication. The same trial in New Zealand can be added to this policy for additional premium. Please check with your CRO beforehand to advise if a shared policy is acceptable.