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.
Use these forms to enrol plan members in optional AD&D, critical illness insurance, or life insurance. You'll find instructions on how to return the completed form on the form itself.
Download the form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save.
Plan members use this form to apply for optional group AD&D coverage. The plan sponsor must fill out Section 1.
Use this form to prove a plan member’s insurability for optional critical illness or life insurance.
Use this form to prove a member’s insurability for critical illness or life insurance under a SelectPac plan.