Plan Forms

Forms marked with an asterisk * You will need Adobe Acrobat Reader to view and complete any forms. These forms work best with Google Chrome or Firefox web browsers.

Benefits Email Authorization Form*

Active Employee Forms

 Canada Life Extended Health Care Plan Employee Claim Form

 Statement of Claim Out-of-Country Expenses*

 Over-age Dependent Questionnaire *

For Executive Government Employees

 Benefit Plan Enrolment Form *

For All Other Participating Employers

 Benefit Plan Enrolment Form *

Retiree Forms

 Extended Health Care Plan Retiree Enrollment Form

 Extended Health Care Plan Retiree Change Form

 Retirees Statement of Claim Out-of-Country Expenses*

 Extended Health Care Plan Retiree Claim Form

 Personal Pre-authorized Debit (PAD) Agreement

 Retiree Over-age Dependent Form