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Direct deposit change form

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 set up direct deposit and receive your benefits payments directly into your bank account. You’ll find instructions on how to return the completed form on the form itself.

Download the 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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I have coverage through my employer.

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I bought coverage through an advisor.

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I bought coverage online directly through Canada Life.

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