When terminating your health insurance with your issuing company, you can communicate your intention through this Health Insurance Termination Letter.
[Sender’s Name]
[City, State and Zip Code]
[Email Address]
[Date]
[Insurance Company’s Name]
The Health and Life Insurance Department
[City, State and Zip Code]
[Mobile/Fax Number]
Re: Health Insurance Cancellation
To Whom It May Concern,
I am writing to inform you that I, [Sender’s Name] of health insurance policy number [#], have decided to terminate my policy. This termination will take effect from [Date] after the final premium payment.
The reason for my insurance termination is [Reason for Termination]. The decision has been arrived at after several consultations and evaluations. Please send a written confirmation of cancellation and removal of my information from your system upon receipt of this letter.
Please pay any surrender amounts to my account, [Account Nummber]. Please complete this request as soon as possible.
Sincerely,
[Sender’s Signature]
[Sender’s Name]
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