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Accidental Death and Dismemberment (AD&D) beneficiary designation change forms

Bought Freedom to Choose™ health and dental insurance coverage directly through Canada Life? You’re in the right place.

If you have coverage through your employer or plan sponsor, use our workplace benefits insurance forms. If you have coverage through an advisor, use our personal insurance forms.  

Make a change

Use this form to change the beneficiary or beneficiaries on your Accidental Death and Dismemberment (AD&D) plan. You'll find instructions on how to return the completed form on the form itself. 

Download this form and print it, or fill it out in Adobe Reader XI or higherOpens a new website in a new window - Opens in a new window  (not your browser) and save.

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