Java script has been disabled in your browser, please check if the URL in address bar is '/en/common/administration/terminating.asp' Terminating Coverage

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Terminating Employment

Terminating Employment

Individual Terminations

  1. Plan Administrator immediately completes Sections 1 and 2 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 file

Mass Terminations

  1. If there are several terminations to be made in a given period, the Plan Administrator completes Group Policy Change Form
  2. Submit the form to The Co-operators via fax at (306) 761-7373 or by mail.

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