Malaysia

Malaysia

Malaysia

Malaysia

Clinical Trial Application

Malaysia Clinical Trial Quote Request

Mandated Coverage

Yes

Standard Limits

Around 2.300.000 MYR/patient
Up to 9.300.000 MYR/protocol
75.000 MYR/each claim

Tail Coverage

1 year

Data Required to Quote

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

- Certificate and policy will be issued in the name of the local representative

Ecuador

Ecuador

Clinical Trial Application

Ecuador Clinical Trial Quote Request

Ecuador Know Your Customer Form

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/CRO details (Contact Person Name, Telephone Number and E-mail Address) and RUC number (Ecuadorian Tax ID)
• No refund for policy cancellation

- CRO or Local Legal Representative must provide the completed "Know Your Customer Form"