Uganda

Uganda

Uganda

Uganda

Clinical Trial Application

Uganda Clinical Trial Quote Request

Clinical Trials 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
• Legal Representative details of Sponsor ((Contact Person Name, Address, Telephone Number and E-Mail Address)
• Completed Know Your Customer (KYC) Form and Proposal Form to be provided separately
• Premium payment is due in advance of release of policy documents

No refund for policy cancellation

Macedonia

Macedonia

Clinical Trial Application

Macedonia Clinical Trial Quote Request

Clinical Trials Quote Request

Mandated Coverage

Unknown

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 Macedonian
• Site List in Macedonian and English, inclusive of Full Name(s) of Principal Investigator(s), the Hospital(s)/Site Location(s) Address(es) with Area Code

- Payment is made directly by Sponsor to Carrier
- No refund for policy cancellation