Apply for a non-smoker rate
How to make this change
Use this form to apply for a non-smoker rate if you have life insurance as part of your workplace benefits.
- Print this form and complete it.
- Once completed, mail it to the address on the form.
-
Use this form to apply for the non-smoker’s rate on your life insurance.
Not forms you're looking for? Go back to the find a form page.