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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

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.

If you have coverage through your employer or plan sponsor, use our workplace benefits insurance forms. If you purchased coverage directly through Canada Life, use our Freedom to Choose™ forms.  

Use this form to make a claim for accidental death, dismemberment or specific loss.

To make a claim:

Download this form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save.

Download this form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save.

When both parts are completed, please send a scanned copy to us via email at grouplifebenefits@canadalife.com or by fax at (204) 946-8783.

In light of COVID-19, we ask that you do not mail these forms to us.