Portable life insurance claim forms
Have you added portable benefits coverage to your workplace plan? You’re in the right place.
Start a claim
Use these forms to make a claim on a Portable Benefits life insurance plan.
Standard claim form
Download this form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save.
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Use this form if you're a beneficiary making a claim on a portable benefits life insurance plan. A doctor will need to complete some sections.
Advanced payment form
Download this form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save.
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Use this form to request a lump sum payment of you or your spouse's portable life insurance following a terminal illness diagnosis.
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.