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D-9.2, r. 16.1 - Regulation respecting Alternative Distribution Methods

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SCHEDULE 5
(s. 31)
NOTICE OF RESCISSION OF AN INSURANCE CONTRACT
NOTICE GIVEN BY A DISTRIBUTOR
Section 440 of the Act respecting the distribution of financial products and services (chapter D-9.2)
THE ACT RESPECTING THE DISTRIBUTION OF FINANCIAL PRODUCTS AND SERVICES GIVES YOU IMPORTANT RIGHTS.
The Act allows you to rescind an insurance contract, without penalty, within 10 days of the date on which it is signed. However, the insurer may grant you a longer period.
To rescind the contract, you must give the insurer notice, within that time, by registered mail or any other means that allows you to obtain an acknowledgement of receipt.
Despite the rescission of the insurance contract, the first contract entered into will remain in force. Caution, it is possible that you may lose advantageous conditions as a result of this insurance contract; contact your distributor or consult your contract.
After the expiry of the applicable time, you may rescind the insurance contract at any time; however, penalties may apply.
For further information, contact the Autorité des marchés financiers at 1-877-525-0337 or visit www.lautorite.qc.ca.
NOTICE OF RESCISSION OF AN INSURANCE CONTRACT
To :
(name of insurer)
   
(address of insurer)
Date:(date of sending of notice)
Pursuant to section 441 of the Act respecting the distribution of financial products and services, I hereby rescind insurance contract no.: ____________________ (number of contract, if indicated)
Entered into on: ___________________________________________(date of signature of contract)
In: _____________________________________________________(place of signature of contract)
_______________________________________________________(name of client)
_______________________________________________________(signature of client)
M.O. 2019-05, Sch. 5.
SCHEDULE 5
(s. 31)
NOTICE OF RESCISSION OF AN INSURANCE CONTRACT
NOTICE GIVEN BY A DISTRIBUTOR
Section 440 of the Act respecting the distribution of financial products and services (chapter D-9.2)
THE ACT RESPECTING THE DISTRIBUTION OF FINANCIAL PRODUCTS AND SERVICES GIVES YOU IMPORTANT RIGHTS.
The Act allows you to rescind an insurance contract, without penalty, within 10 days of the date on which it is signed. However, the insurer may grant you a longer period.
To rescind the contract, you must give the insurer notice, within that time, by registered mail or any other means that allows you to obtain an acknowledgement of receipt.
Despite the rescission of the insurance contract, the first contract entered into will remain in force. Caution, it is possible that you may lose advantageous conditions as a result of this insurance contract; contact your distributor or consult your contract.
After the expiry of the applicable time, you may rescind the insurance contract at any time; however, penalties may apply.
For further information, contact the Autorité des marchés financiers at 1-877-525-0337 or visit www.lautorite.qc.ca.
NOTICE OF RESCISSION OF AN INSURANCE CONTRACT
To :
(name of insurer)
   
(address of insurer)
Date:(date of sending of notice)
Pursuant to section 441 of the Act respecting the distribution of financial products and services, I hereby rescind insurance contract no.: ____________________ (number of contract, if indicated)
Entered into on: ___________________________________________(date of signature of contract)
In: _____________________________________________________(place of signature of contract)
_______________________________________________________(name of client)
_______________________________________________________(signature of client)
M.O. 2019-05, Sch. 5.
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