Mexico

Mexico

Mexico

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

Pakistan

Pakistan

Clinical Trial Application

Pakistan 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
• Local CRO/Legal Representative details (Contact Person Name, Address, Telephone • Number and E-Mail Address), Tax Number and Sales Tax Number

The Legal Representative is responsible for providing the following:
• Tax number and sales tax number
• Board resolution for insurance purposes
• List of members/directors
• Identity document of the person authorized to deal with the insurance carrier

- Pakistan requires payment and wire payment confirmation PRIOR to release of documentation
- Sponsor pays the carrier directly once invoice is provided
- No refund for policy cancellation

Quote process is VERY slow in Pakistan due to fronting and reinsurance carriers. Submission should be made to Newfront at least 45 days before documents are required.