Update on Sponsor Insurance For Clinical Trials - PowerPoint PPT Presentation

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Update on Sponsor Insurance For Clinical Trials

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... have a large bearing on whether health insurance will cover these medical costs. ... pay than national plans (Aetna, United Health), due to local community ... – PowerPoint PPT presentation

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Title: Update on Sponsor Insurance For Clinical Trials


1
Update on Sponsor Insurance For Clinical Trials
  • June 26, 2008

Ty Howe, Life Sciences Practice Leader Boston
office
2
Health InsurersWill they pay for subject
injuries?
  • Specific facts of the situation will have a large
    bearing on whether health insurance will cover
    these medical costs. Will the current costs
    limit larger, long term medical costs?
  • Self insured plans are more likely to pay than
    insured plans
  • Some local plans will be more likely to pay than
    national plans (Aetna, United Health), due to
    local community standards
  • Sponsors have no ability to predict what
    percentage of medical expenses might be paid in a
    clinical trial

3
Clinical Trial Liability Insurance
  • A Liability policy, that may include Medical
    Expense coverage
  • Medical Expense insurance No fault insurance
    for medical expenses incurred by a clinical trial
    participant
  • A sublimit within a clinical trial liability
    policy
  • Limits range from 0 to 10,000
  • New 250,000 excess option
  • Insurers include CNA, Berkley, Chubb, Medmarc,
    ACE
  • Profitable business insurers will compete for
    accounts
  • International market is completely different from
    US market

4
Insurers mentality about claims
  • Yes, it is a liability policy, but
  • As always, facts determine the insurers response
  • If the plaintiffs argument will present a
    sympathetic set of facts to a jury, insurers will
    want to settle without proof of liability or even
    a lawsuit
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