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

Clinical Trial Application	Brazil Clinical Trial Quote Request
Mandated Coverage	Yes Please confirm with CRO if your study requires coverage for Pregnant partners and unborn child before making a submission in this portal. If this is required, your CRO will need to obtain coverage on your behalf.
Standard Limits	Between 1.000.000 and 5.000.000 USD for the whole duration of the protocol
Tail Coverage	n/a
Data Required to Quote	• Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Protocol Title in Portuguese • Brazilian Tax ID (CNPJ number) • Legal Representative in Brazil or Local CRO details (Contact Person Name, Address, Telephone Number and E-Mail Address) No refund for policy cancellation PLEASE READ: In addition to Sponsor binding approval, the Local Broker will issue the local quotation to the Brazilian CRO/Entity for confirmation of binding. Sponsor to follow-up with CRO to confirm binding and relay back to ABD. THE PROCESS TO ISSUE DOCUMENTS IS SLOW. PLEASE ALLOW ENOUGH TIME AS WE ARE NOT ABLE TO EXPEDITE DOCUMENTS. It is very SLOW due to all of the intermediaries involved. Please allow a minimum 2 months before receipt of documentation. Brazil can take 7-10 days to receive quote and about 4-6 weeks to receive the documentation. Please allocate this additional time into your submission process. Submission should be made to ABD at least one month before documents are required.