WebGreat-West Life Assurance London Benefit Payment Office 255 Dufferin Avenue London, Ontario N6A 4K1 1-800-874-5899 TTY: 1-800-990-6654 Basic Life # 158879 Supplementary Life & Dependent Life: # 158880 For Death Claims: For General Information on Life Insurance Conversion Contact Ontario Shared Services (OSS) Contact your … Web1. Have your dentist complete Part 1. 2. Employee completes Parts 2 and 3. 3. If you wish benefits to be paid directly to the dentist, sign the assignment portion of Part 1 above. Assignment of benefits is irrevocable. Great-West Life may discuss details of this claim with the assignee. 4. Send this claim to: Questions?
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