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How Canada Life is supporting you during COVID-19. Learn more

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. Learn more

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. Learn more

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Freedom 55 Financial is a division of The Canada Life Assurance Company and the information you requested can be found here.

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Use this form to request reimbursement for expenses you incurred if your trip was cancelled or interrupted due to illness.

To submit a claim:

  1. Print the form below and complete Sections A to F.
  2. Ask the attending doctor to complete Section G.
  3. Attach all of the required documentation, including receipts.
  4. Return this form to us at the address on the form.

Not the forms you're looking for? Go back to the find a form page.