How Canada Life is supporting you during COVID-19. Learn more
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. Learn more
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Use this form to provide more details about converting your workplace life insurance coverage to an individual plan. You'll need your plan number handy before you get started.
All fields are required unless labelled optional.
Depending on your choices, some fields could be added to this form.
You can find this in your benefits card, your benefits booklet, or through your online account.
The security of email communication cannot be guaranteed at this time. Any person wishing to communicate or send information of a private or confidential nature to Canada Life is encouraged to do so by calling 1-800-665-0551 1 8 0 0 6 5 5 0 5 5 1.