Great west life application for group coverage 2026

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  1. Click ‘Get Form’ to open the great west life application for group coverage in the editor.
  2. Begin with Section 1, which is for the plan administrator. Fill in the plan number, division number, and other required details clearly.
  3. Move to Section 2, where you will provide your personal information as the plan member. Ensure to include your name, date of birth, and mailing address accurately.
  4. In Section 3, indicate if you are refusing any benefits. Make sure to initial any corrections made in this section.
  5. Complete Section 4 by designating beneficiaries for your life benefits. Clearly print their names and relationships to you.
  6. Fill out Section 5 with dependant information if applicable. Include details about your spouse and children.
  7. Review Sections 6 and 7 regarding privacy and authorizations. Sign and date where indicated to finalize your application.

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