No-Fault Clinical Trial Insurance Cover

No-Fault Clinical Trial Insurance Cover

We are proud to have placed the largest clinical trial policy in South Africa and have worked closely with research facilities as well as academic institutions in finding solutions to their respective needs.

We believe we are the industry leaders in this field of insurance and Specialised clinical trial knowledge. In addition to the above, we can now include Accident & Health – cover for research subjects travelling to and from research sites.

This cover specifically covers research subjects for bodily injury or property damage:

  • caused by an occurrence in connection with the Insured’s business, and resulting from a clinical trial conducted by or on behalf of the Insured. during the Period of Insurance or within 30 days of its termination.

Agreed Compensation Cover

  • compensation agreed under the applicable Clinical Trial Compensation Guidelines; or

Legal Liability Cover

  • damages and related claimants’ costs that the Insured becomes legally liable to pay, if and to the extent that settlement is not concluded under the Agreed Compensation Cover (above);

Furthermore, notwithstanding anything to the contrary above, these covers apply only to clinical trials if:

  • the product being investigated is a life science product

Request Quote No-Fault Clinical Trial Insurance Cover

Please complete the Clinical Trial Insurance quote form below.

Single Clinical Trial Proposal Form

Instructions

  • Please type or print clearly.
  • Answer ALL questions completely, leaving no blanks. If any questions, or part thereof, do not apply, print “N/A” in the space.
  • Provide any supporting information on a separate sheet using your letterhead and reference the applicable question number.
  • This form must be completed, dated and signed by a principal of your organization.

Important:

Please submit the following information with the Proposal Form. This information is necessary before a quotation can be obtained:

  • Clinical trial protocols and informed consent documents
  • Historical loss information

General Information

Trial Information

Investigational Medicinal Product Information

Claims Experience

Prior Insurance

Quotation Required

Declaration

  • ON Desktop / Laptop Scan Signature and Save to File as .jpg or .png. / Then Click on the arrow in Signature Field below to upload.
  • On Mobile Take a photo of your Signature. / Then Click on the arrow in Signature Field below to upload.
Choose File
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