| Clinical Trial Application | India Specific Clinical Trial Quote Request |
|---|
| Mandated Coverage | |
|---|
| 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 |
|---|
