DECLARATION ACCOMPANYING THE APPLICATION FOR REGISTRATION OF AN AMENDMENT TO A PENSION PLAN
(The administrator of the pension plan affected by the application for registration or his mandatary must:
— either complete section A that follows;
— or have section B completed by an actuary who is a member of the Canadian Institute of Actuaries and has the title of “Fellow” or who has a status that the Institute recognizes as equivalent.)
Section A
I, ____________________________, declare that I have read the application for application attached herewith and I certify to the best of my knowledge that:
(Only one box may be checked.)
□ The report on the actuarial valuation of the plan attached to this declaration takes into account the amendment(s) made to the plan.
□ The amendment(s) made to the plan does not (do not) have the effect of changing the contribution required from the employer or the members or the other sums to be paid into the pension fund, nor the effect of changing the benefits or refunds payable by the fund.
□ The plan, as amended, is an uninsured plan under which the benefits of all the members and beneficiaries arise at all times from the sums credited to their accounts.
□ The plan, as amended, is an uninsured plan under which the benefits of the members and beneficiaries are constituted solely of benefits or refunds guaranteed at all times by an insurer and of benefits arising, at all times, solely from the sums credited to their accounts.
□ The plan as amended is an insured plan for which the insurer undertakes to assume all the costs and fees relative to its termination.
__________(signature)__________ __________(date)__________
Section B
I, __________(actuary FCIA)__________, declare that I have
read the application for registration and the amendment(s) to the plan cover thereunder and I certify that:
(Only one box may be checked.)
□ The effect of the amendment(s) has already been valued in the report on the actuarial valuation of the plan dated _____________,
□ The amendment(s) does not give rise to any change in the employer contribution, the member contribution, if any, the liabilities or the assets of the plan as determined in the report dated _____________ on the actuarial valuation of the plan as at _____________.
__________(signature)__________ __________(date)__________