| Clinical Trial Application | |
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| Mandated Coverage | |
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| Standard Limits | |
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| Tail Coverage | |
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| Data Required to Quote | • Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Sponsor to provide completed Know Your Country (KYC) form (Newfront to provide separately)
• Local CRO or Local Representative details (Contact Person Name and Telephone Number). If there is no local Representative, then please provide the contact details of any site/hospital participating in the trial
- Premium is paid directly to the carrier within 14 days of receipt of invoice
- No refund for policy cancellation
Policy and certificate typically take up to 3-4 weeks for carrier to process so please note this time frame in the submission process |
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