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A-29, r. 1 - Regulation respecting eligibility and registration of persons in respect of the Régie de l’assurance maladie du Québec
Section 24
Disposition versions
24. To have a lost, damaged or stolen health insurance card replaced, an insured person or his representative shall apply using the form supplied by the Board for that purpose, shall pay any applicable fees and shall provide the following information and documents:
(1) the information prescribed in paragraphs 1 to 5 of section 14;
(2) the person’s health insurance number, where available;
(3) the reason for the application for replacement of a card;
(4) subject to sections 8 to 8.0.3 of the Regulation respecting the terms and conditions for the issuance of health insurance cards and the transmittal of statements of fees and claims (chapter A-29, r. 7.2), a photograph meeting the specifications of the International Civil Aviation Organization (ICAO). The specifications are listed in the subsection entitled “Displayed identification feature(s) of the holder” of section IV of Volume 1 of Part 3 of ICAO Doc 9303 entitled “Machine Readable Travel Documents” and in Appendix 5 of that same section, except with respect to the following rules having precedence over the ICAO standards:
(a) the photograph must be a colour photograph measuring 50 mm wide × 70 mm high (2 in. wide × 2 3/4 in. high);
(b) a person may be photographed wearing tinted glasses if he is declared to be blind, suffering from photophobia or light intolerance and if he submits a medical certificate to that effect;
(5) except for an application for which the Board issued a health insurance card without the photograph and signature of the insured person under sections 8, 8.0.1 and 8.0.2 or, where applicable, section 8.0.3 of the Regulation respecting the terms and conditions for the issuance of health insurance cards and the transmittal of statements of fees and claims, an authentication document duly completed in the manner prescribed in Division V;
(6) in the case of a person who is unable to provide a domiciliary address because he is homeless, a declaration signed and dated by a worker with a local employment centre or with an institution attesting that the worker knows the person and that the person lives in Québec or the document “Confirmation of Identity and of Domicile in Québec”, duly completed and signed;
(7) a declaration signed and dated by the insured person or by his representative attesting that the information provided is accurate.
Notwithstanding the preceding, where an insured person has his application for replacement of a health insurance card authenticated according to one of the methods prescribed in section 32.1, the document referred to in subparagraph 4 of the first paragraph does not have to be provided.
A damaged health insurance card shall be returned to the Board.
The fees exigible for the replacement of a card are the fees prescribed in the Regulation respecting the terms and conditions for the issuance of health insurance cards and the transmittal of statements of fees and claims.
24. To have a lost, damaged or stolen health insurance card replaced, an insured person or his representative shall apply using the form supplied by the Board for that purpose, shall pay any applicable fees and shall provide the following information and documents:
(1) the information prescribed in paragraphs 1 to 5 of section 14;
(2) the person’s health insurance number, where available;
(3) the reason for the application for replacement of a card;
(4) subject to sections 8 to 8.0.3 of the Regulation respecting the terms and conditions for the issuance of health insurance cards and the transmittal of statements of fees and claims (chapter A-29, r. 7.2), a photograph meeting the specifications of the International Civil Aviation Organization (ICAO). The specifications are listed in the subsection entitled “Displayed identification feature(s) of the holder” of section IV of Volume 1 of Part 3 of ICAO Doc 9303 entitled “Machine Readable Travel Documents” and in Appendix 5 of that same section, except with respect to the following rules having precedence over the ICAO standards:
(a) the photograph must be a colour photograph measuring 50 mm wide × 70 mm high (2 in. wide × 2 3/4 in. high);
(b) a person may be photographed wearing tinted glasses if he is declared to be blind, suffering from photophobia or light intolerance and if he submits a medical certificate to that effect;
(5) except for an application for which the Board issued a health insurance card without the photograph and signature of the insured person under sections 8, 8.0.1 and 8.0.2 or, where applicable, section 8.0.3 of the Regulation respecting the terms and conditions for the issuance of health insurance cards and the transmittal of statements of fees and claims, an authentication document duly completed in the manner prescribed in Division V;
(6) in the case of a person who is unable to provide a domiciliary address because he is homeless, a declaration signed and dated by a worker with a local employment centre or with an institution to the effect that the worker knows the person and that the person lives in Québec;
(7) a declaration signed and dated by the insured person or by his representative attesting that the information provided is accurate.
Notwithstanding the preceding, where an insured person has his application for replacement of a health insurance card authenticated according to one of the methods prescribed in section 32.1, the documents listed in subparagraphs 4 and 7 of the first paragraph do not have to be provided.
A damaged health insurance card shall be returned to the Board.
The fees exigible for the replacement of a card are the fees prescribed in the Regulation respecting the terms and conditions for the issuance of health insurance cards and the transmittal of statements of fees and claims.
24. To have a lost, damaged or stolen health insurance card replaced, an insured person or his representative shall apply using the form supplied by the Board for that purpose, shall pay any applicable fees and shall provide the following information and documents:
(1) the information prescribed in paragraphs 1 to 5 of section 14;
(2) the person’s health insurance number, where available;
(3) the reason for the application for replacement of a card;
(4) subject to sections 8 to 8.0.3 of the Regulation respecting forms and statements of fees under the Health Insurance Act (chapter A-29, r. 7), a photograph meeting the specifications of the International Civil Aviation Organization (ICAO). The specifications are listed in the subsection entitled “Displayed identification feature(s) of the holder” of section IV of Volume 1 of Part 3 of ICAO Doc 9303 entitled “Machine Readable Travel Documents” and in Appendix 5 of that same section, except with respect to the following rules having precedence over the ICAO standards:
(a) the photograph must be a colour photograph measuring 50 mm wide × 70 mm high (2 in. wide × 2 3/4 in. high);
(b) a person may be photographed wearing tinted glasses if he is declared to be blind, suffering from photophobia or light intolerance and if he submits a medical certificate to that effect;
(5) except for an application for which the Board issued a health insurance card without the photograph and signature of the insured person under sections 8, 8.0.1 and 8.0.2 or, where applicable, section 8.0.3 of the Regulation respecting forms and statements of fees under the Health Insurance Act, an authentication document duly completed in the manner prescribed in Division V;
(6) in the case of a person who is unable to provide a domiciliary address because he is homeless, a declaration signed and dated by a worker with a local employment centre or with an institution to the effect that the worker knows the person and that the person lives in Québec;
(7) a declaration signed and dated by the insured person or by his representative attesting that the information provided is accurate.
Notwithstanding the preceding, where an insured person has his application for replacement of a health insurance card authenticated according to one of the methods prescribed in section 32.1, the documents listed in subparagraphs 4 and 7 of the first paragraph do not have to be provided.
A damaged health insurance card shall be returned to the Board.
The fees exigible for the replacement of a card are the fees prescribed in the Regulation respecting forms and statements of fees under the Health Insurance Act.
24. To have a lost, damaged or stolen health insurance card replaced, an insured person or his representative shall apply in writing, using the form supplied by the Board for that purpose, shall pay any applicable fees and shall provide the following information and documents:
(1) the information prescribed in paragraphs 1 to 5 of section 14;
(2) the person’s health insurance number, where available;
(3) the reason for the application for replacement of a card;
(4) subject to sections 8 to 8.0.3 of the Regulation respecting forms and statements of fees under the Health Insurance Act (chapter A-29, r. 7), a color photograph measuring 43 mm × 54 mm (1 11/16 × 2 1/8 in), on a white background, taken in the last 6 months, showing the person facing front, from the shoulders up and bare headed; the photograph shall be dated on the back with a date stamp;
(5) except for an application for which the Board issued a health insurance card without the photograph and signature of the insured person under sections 8, 8.0.1 and 8.0.2 or, where applicable, section 8.0.3 of the Regulation respecting forms and statements of fees under the Health Insurance Act, an authentication document duly completed in the manner prescribed in Division V;
(6) in the case of a person who is unable to provide a domiciliary address because he is homeless, a declaration signed and dated by a worker with a local employment centre or with an institution to the effect that the worker knows the person and that the person lives in Québec;
(7) a declaration signed and dated by the insured person or by his representative attesting that the information provided is accurate.
A damaged health insurance card shall be returned to the Board.
The fees exigible for the replacement of a card are the fees prescribed in the Regulation respecting forms and statements of fees under the Health Insurance Act.
