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A transfer is when an employee moves to a different account within the same group

  1. Account transfers must be reported by BOTH the employer who the individual is transferring TO and the employer that the individual is transferring FROM.
    • Transferring FROM - should be reported as a termination, the Plan Administrator must complete the Plan Member Change Form
    • Transferring TO - should be reported as an addition, the Plan Administrator Both employers must complete the Plan Member Enrolment.
  2. Submit the form. Send the original form via email to:


    Via Fax: (306) 761-7373


    Via Mail: Co-operators Life Insurance Company

    1920 College Avenue

    Regina, SK

    S4P 1C4

    Any questions or for more information contact The Co-operators Group Client Service Team toll free at 1-800-667-8164 or email

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