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Changing Name or Beneficiary

Changing Beneficiary

  1. Employee completes the Plan Member Change form
  2. Mail the original form to The Co-operators

Note: It is important to keep an employee’s beneficiary designation up-to-date as the insurance carrier will pay life benefit proceeds to the last named beneficiary only.

Changing Name

  1. Plan Administrator completes Section 1 and 2 of the Group Benefits Plan Member Change form. Employee completes Sections 3 and 4 of the Group Benefits Plan Member Change form.
  2. Send a copy of 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

  4. Plan Administrator retains original in employee a file

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