Gerber Life Insurance Company
 


	Manage My Policy

Policy Change - Use this form to record legal name changes, and to correct spelling, date of birth, and gender information on your policy. Each of these changes will require additional legal documentation. For more information about the documentation needed, call Customer Service at 1-800-518-8884.

When you click the submit button below, a PDF (Portable Document Format) will be created. Please download the document, print it, review and sign it, and then mail it to the address provided on the PDF. You may be asked to attach copies of documentation.

Policy Change Form

First Name

Last Name

MI

Address

Apt

City

Province

Postal Code

-

Phone

--

Email Address:

Confirm Email Address:

Policy Number:

 Record a Legal Name Change

(Example: Marriage, Divorce, Adoption, Religion)
Legal documentation must be included with your request before the change can be processed.

Name change is for (Select one):

Name currently printed on policy:

First Name

Last Name

MI

New name:

First Name

Last Name

MI

Date of Birth

Reason for Legal Name Change:

 Correct a spelling error

Legal documentation must be included with your request before the change can be processed.

Name change is for (Select one):

Name currently printed on policy:

First Name

Last Name

MI

Correct Spelling:

First Name

Last Name

MI

Date of Birth

 
 Correct age for insured

Legal documentation must be included with your request before the change can be processed.

Name of insured:

   

First Name

Last Name

MI

Correct Age:

Date of Birth

 Correct gender for insured

Legal documentation must be included with your request before the change can be processed.

Name of insured:

   

First Name

Last Name

MI

Correct gender:

Date of Birth

I agree to the Legal Authorizations and Disclosures.

Gerber Life policyholder Gerber Life eService website

Gerber Life Insurance Company is pleased to invite you to enroll in Gerber Life eService, available on our website www.gerberlife.ca

Through policyholder self-service, you have the opportunity to review and make specific changes to your policy at any time; from any location with an internet connection.

Information and policy changes available:

  • Automatic Payment Enrollment (Credit Card or Bank Account)
  • Address Change
  • Beneficiary Change
  • Policy Change
    • Legal Name Change
    • Incorrect Spelling and/or Age

Enrollment: Gerber Life eService is voluntary and optional; you may discontinue your enrollment at any time. Upon request, you may continue to have your policy serviced via paper or telephony communication while enrolled for policyholder self-service.

Security: Gerber Life Insurance Company follows reasonable precautions to safeguard the confidentiality of electronic communications and information relating to your policy.

We are not responsible for unauthorized access to non-Gerber Life systems, nor are we responsible for damages of any type caused by unauthorized access.

Computer storage and printing:While using Gerber Life eService, you will have the ability to store and print policy change requests as well as the Gerber Life receipt of the change requests successfully submitted.

Paper copies:You may request a paper copy of your Gerber Life eService transaction directly from Gerber Life Insurance Company, by contacting us at 1-800-518-8884.

System requirements: To participate in Gerber Life Gerber Life eService on the internet, you will need a computer with a web browser that supports at least 128 bit encryption. You must also have ability to receive and read e-mail as well as Adobe Portable Document Format (PDF) attachments.

Update contact information: You may update your contact information:

  • via telephone: 1-800-518-8884, or
  • via mail addressed to: Gerber Life Insurance Company, P.O. Box 22265, Stn BRM B, Toronto, ON M7Y 4A1.

Electronic payments: By submitting necessary enrollment information through Gerber Life eService, you are indicating that you would like to view your Gerber Life Insurance bills online. When you complete the necessary banking information section of the registration, you will have the opportunity to remit online payments using electronic funds transfer from your checking or savings account, or by credit card. You will only be able to remit payments for Gerber Life Insurance Company products which are drawn on a U.S. Bank. As part of registration, you will receive your bills exclusively online. Gerber Life reserves the right to change this service in regards to receiving paper invoices. By enrolling, you will receive email notification when a new invoice is available online for your review and remittance. You may cancel electronic payments at any time.

Corrections: When you request Gerber Life to make changes to your policy through Gerber Life eService, you will be given the opportunity to review all changes and to make any corrections before final submission.

Your agreement: By enrolling in Gerber Life eService:

  • you acknowledge receipt of this notice concerning the operation of Gerber Life eService, and
  • you consent to receive and send information electronically regarding your policy and to effect changes to your policy, and
  • you agree enrollment and participation is voluntary, and may be cancelled at any time
  • you acknowledge that your action requesting policy changes constitutes your signature and agreement to those changes.

Cancellation: You may cancel your enrollment in Gerber Life eService at any time:

  • by telephone at 1-800-518-8884, or
  • by writing us at Gerber Life Insurance Company, P.O. Box 22265, Stn BRM B, Toronto, ON M7Y 4A1, or

Note: cancelling policyholder self-service on the internet may result in unavoidable processing delays of your account changes and payment submissions


Questions? Call our toll-free number: 1-800-518-8884, Monday - Friday, 8 am to 8 pm (ET)


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Call toll free 1-800-518-8884

Gerber Life Insurance is a trademark.
Used under license from Société des Produits Nestlé S.A. and Gerber Products Company

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