Skip to main content

In the event of a national postal disruption, Canada Life is prepared to help lessen the impact and continue to serve our customers. What you need to know

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

Your web browser is out-of-date. For the best experience, please update to a modern browser like Chrome, Edge, Safari or Mozilla Firefox.

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 an advisor, use our personal insurance forms. If you purchased coverage directly through Canada Life, use our Freedom to Choose™ forms.

Use this form to request coverage of a brand name drug. 

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

Step 2: Ask your doctor to complete the physician information section.

 

Step 3: Submit your form.

You’ll find instructions on how to submit your request on the form itself.