Skip to main content

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

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

Accidental Death and Dismemberment (AD&D) beneficiary designation change forms

Have coverage through your advisor? You’re in the right place.

If you have coverage through your employer or plan sponsor, use our workplace insurance forms instead.

Make a change

Use this form to change the beneficiary or beneficiaries on your Accidental Death and Dismemberment (AD&D) plan. You'll find instructions on how to return the completed form on the form itself. 

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

Not what you’re looking for? Find the forms you need.

I have coverage through my employer

Find a form

I bought coverage through an advisor

Find a form