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Wilfrid Laurier University Human Resources
April 24, 2014
 
 
Canadian Excellence

Forms

Employee Benefits

Great West Life Evidence of Insurability Form


published: 21-Oct-2013    PDF (398kb)    GWL_Evidence_of_Insurability_Coverage_Detail_Application_Form.pdf

 
  

The Great West Life Evidence of Insurability Form can be used for the following:

  • Enrollment as a Late Applicant for health and/or dental benefits
  • Application for Optional Life insurance (please also provide Human Resources with your beneficiary information)
  • Application as a Late Applicant for Long Term Disability insurance


 
 

updated December 05/13