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Registration information

Please provide us with some information so we can confirm your identity (if you forget your password or personal identification number), and communicate with you. Registering also allows you to save employee information and make changes before you finalize your plan.

All fields required unless otherwise indicated

Email address

Retype email address

Sign me up to receive information on Great-West Life's innovative coverage options and investment tools. I understand I always have the option to unsubscribe (optional).

Password

list with 5 items

Password must include at least:

1 lowercase letter
1 uppercase letter
1 number
8 characters
1 of these special characters: !exclamation point # $ % -dash _underscore = + < >

Retype password

First name

Last name

Date of birth

Enter the date in format YYYYMMDD

Enter a 4-digit personal identification number (PIN). Please record and keep this PIN as it will be used to authorize your account should you ever need to phone us.

Recovery email address (optional)

We strongly recommend you provide a recovery email address. If you forget your sign-in email address, it’s the only way to recover it. Please note you won’t be able to change your recovery address later.

Retype recovery email address

Required if recovery email address provided

By registering, you agree to our Terms and conditions.

The Great-West Life Assurance Company
100 Osborne St. N., Winnipeg, MB R3C 1V3
www.greatwestlife.com

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