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
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.
If you have coverage through your employer or plan sponsor, use our workplace benefits insurance forms. If you purchased coverage directly through Canada Life, use our Freedom to Choose™ forms.
Use this form to apply for disability benefits.
Complete a Claimant Statement online through DocuSign.
Make a paper claim
Download and complete a Claimant Statement form.
Note that if you're completing your Claimant Statement online, you'll still need to ask your doctor to complete and return a Physician's Statement to us.
Download this form and print it, or fill it out in Adobe Reader XI or higher (not your browser) and save. Forms must be signed using a pen, and forms returned with Adobe signature won’t be accepted.
To submit a paper claim or Physician's Statement please mail, email or fax to the contact information indicated on the claim form.