Use this form to apply for non-smoker rates on your portable benefits coverage.
Download this form and print it, or fill it out in Adobe Reader XI or higherOuvre un nouveau site dans une nouvelle fenêtre (not your browser) and save.
When you’ve completed your forms, you can submit them to us by email at portablebenefits@canadalife.comS’ouvre dans une nouvelle fenêtre or fax to (416) 552-3373.