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Apply for a non-smoker rate on your portable benefits coverage

Have you added portable benefits coverage to your workplace plan? You’re in the right place.

Make a change

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 higherOpens a new website in a new window - Opens in a new window  (not your browser) and save.

When you’ve completed your forms, you can submit them to us by email at portablebenefits@canadalife.comOpens in a new window or fax to (416) 552-3373.

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