Sample "Letter for Cancellation of Health Insurance Policy"

A Letter for Cancellation of a Health Insurance Policy is a written statement submitted by an insurance policyholder to their insurance company with the intention to end insurance coverage. Since a health insurance policy is a result of the formal contract signed by the person and the provider, the insured individual is within their rights to notify the insurer about their decision to discontinue the insurance. This letter will serve as evidence in court in case the provider refuses to grant cancellation for any reason.

Download a Sample Letter for Cancellation of a Health Insurance Policy through the link below. Generally, this document includes the name of the insured person, identifies the insurance provider, states the number of the insurance policy, and contains the request to terminate the agreement between the provider and the policyholder. Add the reason for cancellation, the date you would like it to become effective, and your contact details to let the insurance company reach out to you in order to discuss outstanding payments or other issues. To make sure the letter is delivered safely to the recipient, opt for certified mail or present the document in person.


Still looking for a particular template? Take a look at the related templates and samples below:

ADVERTISEMENT
ADVERTISEMENT

Download Sample "Letter for Cancellation of Health Insurance Policy"

Download PDF

Fill PDF online

Rate (4.8 / 5) 19 votes
Page background image
Sample Letter for Cancellation
of Health Insurance Policy
From: John Doe
2346 Penrose Circle
Indianapolis, Indiana 46219
[Date]
To: Insurance Company, LLC
Headquarters Insurance Company, LLC
123 James Street
Jamestown, Indiana 12345
Attn: Insurance Company Cancellations Department
Re: Cancellation of Policy #123
To Whom It May Concern,
I regret to inform you that I, John Doe (Policy #123) have decided to terminate my
health insurance coverage as of July 12, 2019. This decision is due to my wish to find
a similar comprehensive coverage plan for a lower cost. I am also unhappy with your
company’s customer support.
I would like to request a written confirmation of the cancellation for my records at
your earliest convenience.
Sincerely,
John Doe
[Signature]
©
TEMPLATEROLLER.COM
Sample Letter for Cancellation
of Health Insurance Policy
From: John Doe
2346 Penrose Circle
Indianapolis, Indiana 46219
[Date]
To: Insurance Company, LLC
Headquarters Insurance Company, LLC
123 James Street
Jamestown, Indiana 12345
Attn: Insurance Company Cancellations Department
Re: Cancellation of Policy #123
To Whom It May Concern,
I regret to inform you that I, John Doe (Policy #123) have decided to terminate my
health insurance coverage as of July 12, 2019. This decision is due to my wish to find
a similar comprehensive coverage plan for a lower cost. I am also unhappy with your
company’s customer support.
I would like to request a written confirmation of the cancellation for my records at
your earliest convenience.
Sincerely,
John Doe
[Signature]
©
TEMPLATEROLLER.COM