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Adding or Deleting Dependents

Adding or Deleting Dependents

  1. Plan Administrator completes Section 1 and 2 of the Group Benefits Plan Member Change Form
  2. Employee completes Sections 3 and 4 of the Group Benefits Plan Member Change Form
  3. Send a copy of the original form via email to:
  4. Group_Client_Services@cooperators.ca

    OR

    Via Fax: (306) 761-7373

    OR

    Via Mail: Co-operators Life Insurance Company
    1920 College Avenue
    Regina, SK
    S4P 1C4

  5. Plan Administrator retains original in the employee file. A file copy of the form.

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