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
Your web browser is out-of-date. For the best experience, please update to a modern browser like Chrome, Edge, Safari or Mozilla Firefox.
Adobe Reader XI or higher is required to fill out and save a completed form. Download Adobe ReaderOpens a new website in a new window - Opens in a new window .
You can go paperless and return the completed forms by email.
Use this form to make changes to a plan member’s coverage or details. You’ll need the plan member to fill in some sections.
Not forms you're looking for? Go back to the find a form page.