Canada Life Assurance Company (Canada Life) – Langley Disability Management Services Office (DMSO) fax number

Fax destination details

Department

Langley DMSO (Disability Management Services Office)

Purpose

Submitting Short-Term Disability (STD) claims for the Greater Vancouver Hotel Employers' Association/UNITE HERE Local 40 Health Care Plan; includes Plan Member Statement, Consent Form, Employer Statement, and Attending Physician Statement.

Form

Disability Income Benefits Plan Member Statement — Disability Income Benefits Plan Member Statement

Address

Langley DMSO, Suite 500-19933 88th Avenue, Langley, BC V2Y 4K5

Voice phone

1-877-262-0749

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Submit the Plan Member Statement and Consent Form; Employer completes the Employer Statement; Attending Physician Statement is completed by your doctor; submit to Canada Life Langley DMSO.