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Use this form to update your smoking declaration and apply to receive non-smoking rates on your Portable Life or Portable Accidental Death and Dismemberment (AD&D) insurance.
To do this, you should:
- Download and save the correct form, Portable benefits application for non-smoker rates - M4672 (PB177914)
- Ensure all necessary sections are filled out
- Mail or email the completed form to Canada Life
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