Pakistan

Pakistan

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.

Guatemala

Guatemala

Clinical Trial Application

Guatemala Clinical Trial Quote Request

Guatemala IVE Formulario

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 and Spanish
• Protocol Title in Spanish
• Local Legal Representative details (Contact Person Name, Address, Telephone Number and E-Mail Address)
• Guatemala IVE Formulario must be completed by a Guatemalan entity/local legal representative
• No refund for policy cancellation