Macedonia

Macedonia

Macedonia

Macedonia

Clinical Trial Application

Macedonia Clinical Trial Quote Request

Clinical Trials Quote Request

Mandated Coverage

Unknown

Standard Limits

n/a

Tail Coverage

n/a

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Macedonian
• Site List in Macedonian and English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code

- Payment is made directly by Sponsor to Carrier
- No refund for policy cancellation

Chile

Chile

Clinical Trial Application

Chile Clinical Trial Quote Request

Mandated Coverage

Yes

Standard Limits

n/a

Tail Coverage

n/a

Data Required to Quote

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Protocol Title in Spanish
• Local Legal Representative details (Contact Person Name, Address, Telephone
Number, E-Mail Address) and RUT number
• No refund for policy cancellation

Please allow 2 weeks for receipt of documents.