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Applying for Optional Coverage

Applying for Optional Life and Optional Spousal Life Insurance

Under your group insurance program, an employee is eligible to apply for optional life and optional spousal life insurance at any time.

  1. Employee completes an Optional Life Insurance Application indicating the additional amount of insurance for which the employee wishes to apply
  2. Submit the form. Send the original form
  3. Via Fax: (306)-347-6180 or toll-free: 1-866-889-9924


    Via Mail: Co-operators Life Insurance Company
    Attn: Group Medical Underwriting Department
    1920 College Avenue
    Regina, SK
    S4P 1C4

  4. Employee should retain a photocopy for his/her files
  5. Employee will receive a letter advising of The Co-operators’ decision (approval or declination) or of any additional requirements. The Plan Administrator will receive a carbon copy of that letter
  6. Once approved, the new coverage will be added to your premium statement from The Co-operators

Any questions or for more information contact The Co-operators Group Client Service Team toll free at 1-800-244-3184 or email

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