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  • Great West Life Group Coverage Change Form

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Ddle initial 6. Plan Member Name Change From: To: last name first name middle initial CONTINUE ON REVERSE SIDE M6109-10/13 Day What group benefits coverage does your spouse have through his/her employer? HEALTHCARE DENTALCARE VISIONCARE last name Date of birth Year last name first name middle initial Page 1 of 2 The Great-West Life Assurance Company, all rights reserved. Any modification of this document without the express written consent of Great-West Life is strictly prohibit.

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Canada Life, Great‑West Life and London Life are now together as one company – The Canada Life Assurance Company™.

The claimant must submit the written intimation as soon as possible to enable the insurance company to initiate the claim processing. The claim intimation should consist of basic information such as policy number, name of the insured, date of death, cause of death, place of death, name of the claimant.

phone 1-888-873-8813; email – visit our Contact us page; or.

The easiest way to file a Group Life insurance claim is to contact the group policyholder. This is generally the employer or association where the coverage was offered. They will be able to provide you with the information needed to ensure your claim is processed quickly and accurately.

Please contact Great-West Life Customer Service department for all claims enquiries - 1 800 957 9777.

Through a series of mergers, Great-West Life, London Life, and Canada Life became one company in 2020. The name of this newly formed company is Canada Life Assurance Company; they now service any policies once owned through Great-West Life. To contact Canada Life (formerly Great-West Life), please call 1-888-252-1847.

phone 1-888-873-8813; email – visit our Contact us page; or.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232