Great West Life

Tools

Hot Topics for Plan Administrators

Key Points to completing the Enrollment Form

BBD Online Information

Group Insurance Contribution Report

Great West Life - GroupNet Information

Administration Forms

Group Insurance Enrollment (Fillable) Original signature required at BBD offices.

Employee Report Form

Change of Name

Beneficiary Designation (Fillable) Original signature required at BBD offices.

Dependent Status Change (Fillable)

Partial Waiver (Fillable)

Reinstatement of Waived Benefits (Fillable)

Claim Forms

Disability Claim Forms (applicable if your group has benefits):

Great West Life - Employee Statement

Great West Life - Employer Statement

Great West Life - Return to Work Notice

Please contact your Account Manager or Client Service Representative for Life, ADD, or LTD claim forms.

Health and Dental Claim Form:

Great West Life - Dental

Great West Life - Health Care

Great West Life - Vision Care

Great West Life - Out of Country Claim Submission Form

Claim Office Contact Information

Conversion Forms

Great West Life - Conversion Notification

Great West Life - Conversion Fact Sheet

Payment Options

Pre-Authorized Payment Plan Form