India

India Specific Clinical Trial Quote Request

Yes

From 1 to 5 Million USD in aggregate

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

• 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

Belgium Clinical Trial Quote Request

Clinical Trials Quote Request

Yes

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

3 years

• 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.