Tanzania

Tanzania

Tanzania

Tanzania

Clinical Trial Application

Tanzania Clinical Trial Quote Request

Clinical Trials Quote Request

Mandated Coverage

Yes

Standard Limits

n/a

Tail Coverage

n/a

Data Required to Quote

THE PROCESS IN TANZANIA 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.

• Clinical Trial Quote Request
• Protocol and Informed Consent Form in English
• Certificate of Incorporation of Sponsor
• Sponsor Business License
• Tax Identification Number (TIN) number (FEIN will suffice)

- Premium payment required in advance of receipt of policy documents
- 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.