Mexico

Clinical Trial Application	Mexico Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	n/a
Tail Coverage	n/a
Data Required to Quote	THE PROCESS IN MEXICO IS SLOW. PLEASE ALLOW UP TO TWO MONTHS FOR DOCUMENTS TO BE PROCESSED. Please provide all documentation outlined below otherwise the process is further delayed. PLEASE PROVIDE THE FOLLOWING INFORMATION • Clinical Trial Quote Request • Protocol and Informed Consent Form in English and Spanish • Protocol Title in Spanish • The following documents to be provided by the Sponsor: (i) Copy ID of the legal representative of the Sponsor (this should be the same as the person completing the form) (ii) Proof of address of the sponsor (not older than 3 months) (iii) Document confirming the legal establishment of the sponsor ---> Legal representative details of the Sponsor in Mexico Note the Legal Representative will be responsible for providing the following documents: (i) Copy of the Memorandum of Association registered upon the Property & Commerce Public registry (ii) Copy of the Fiscal Identification Schedule (RFC) (iii) Copy of an Official Identification and Notary’s Testimony of the local CRO (iv) Copy of a Domicile Voucher

Clinical Trial Application	South Korea Clinical Trial Quote Request
Mandated Coverage	Yes
Standard Limits	n/a
Tail Coverage	1 year
Data Required to Quote	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 for additional time - a minimum of 2 months before receipt of documentation • Clinical Trial Quote Request • Protocol and Informed Consent Form in English • Local CRO/Legal Representative details (Contact Person Full Name, Address, Telephone Number, E-Mail Address), Local company Code/Registration CRO provides upon request - Please note that the Local CRO/Legal Representative is the Policyholder. All insurance documents must be first issued to the Local CRO directly for review and acceptance before release to the Sponsor - A separate pre-filled application will be provided for dating/signing to the Legal Representative in South Korea upon receipt of premium payment - Premium payment and confirmation must be made PRIOR to receipt of policy - Separate Fee for South Korea broker intermediary - South Korea only requires a Policy; a Certificate is only provided upon request - No refund for policy cancellation