Great west life advisor change form

The Great-West Life Assurance Company, London Life Insurance Company and The Canada Life Assurance Company have become one company – The Canada Life Assurance Company. Discover the new Canada Life

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Freedom 55 Financial is a division of The Canada Life Assurance Company and the information you requested can be found here.

Back to Find a form Application for group coverage

Use these forms to enroll plan members in your workplace benefits plan.

Updates to plan member’s group coverage information

Use these forms, as the plan administrator, to make changes to group insurance information.

Use these forms to help plan members apply for optional AD&D, critical illness, or life insurance their group benefits.

Evidence of insurability

Use these forms to assist a plan member to apply for group benefits that need medical underwriting, like Excess Life Insurance.

Beneficiary or trustee change

Use these forms to assist a plan member to update beneficiaries, appoint a trustee or adjust an irrevocable beneficiary designation.

Group insurance adjustment

Use these forms to summarize new or updated information on plan members, including terminations, new hires and changes to dependants or beneficiaries.

Group Life Insurance To Personal Insurance

Use these forms to assist a plan member converting group life insurance into a personal policy.

Use these forms to help a plan member apply to change from a smoker to a non-smoker rate for optional critical or life insurance benefits.

Early Referral Services

Use this form to support a plan member's application for Early Referral Services (ERS).

Short-term and long-term disability income benefits

Use these forms to support a plan member's claim for short-term or long-term disability income benefits.

Critical illness benefits

Use this form to support a plan member's claim for benefits relating to an accident or critical illness.

Life insurance claims

Use this form to support a life insurance claim for a plan member in your workplace plan.

Workplace life insurance advance payment

Use this form to support a plan member's claim to receive an advance lump sum of life insurance.

Use these forms to support a plan member's life insurance claim relating to accidental death or dismemberment (AD&D), and specific loss.

Order Canada Life forms

Use this to request any paper group insurance forms.

Set up pre-authorized debit for a business account

Use this form to have monthly group plan premiums automatically debited from your bank account.