Sample "Letter of Cancellation of Life Insurance Policy"

A Life Insurance Policy Cancellation Letter is a formal document prepared by an individual with an insurance policy and sent to their insurance provider to inform the latter about their decision to terminate the coverage that enters into force upon the death of the policyholder in the form of the death benefit paid to the named beneficiary. Whether you are relocating, have decided that you do not need insurance coverage anymore, or found an insurance provider with better rates, you should cancel your insurance policy by sending a statement to the insurance company.

A Sample Letter of Cancellation of Life Insurance Policy is available for download below. If you decide to customize this document to your liking, note that a letter of this kind should contain the following information:

  1. Your name and the number of your insurance policy.
  2. Confirmation of your intention to cancel the life insurance policy. Depending on your original agreement with the provider, you may have to state the reason for the cancellation.
  3. Your contact details - the insurance company will call you in case you still have to handle some payments or return any documentation.

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Sample Letter of Cancellation
of Life Insurance Policy
From: John Doe
123 Justin Ave
Indianapolis, Indiana 46219
[Date]
To: XYZ Insurance Company
Headquarters XYZ Insurance Company
123 James Street
Jamestown, Indiana 12345
Attn: XYZ Insurance Company Cancellations Department
Re: Cancellation of Life Insurance Policy #123
To Whom It May Concern,
This letter is a formal request to cancel the life insurance policy referenced above.
Please stop all debits or charges for premium payments.
I would like to effectively cancel the policy as of June 12, 2019. I would like to
request the refund of any unused premiums within a period of 30 days from the receipt
of this letter and a written confirmation of the cancellation for my records at your
earliest convenience.
Sincerely,
John Doe
[Signature]
©
TEMPLATEROLLER.COM
Sample Letter of Cancellation
of Life Insurance Policy
From: John Doe
123 Justin Ave
Indianapolis, Indiana 46219
[Date]
To: XYZ Insurance Company
Headquarters XYZ Insurance Company
123 James Street
Jamestown, Indiana 12345
Attn: XYZ Insurance Company Cancellations Department
Re: Cancellation of Life Insurance Policy #123
To Whom It May Concern,
This letter is a formal request to cancel the life insurance policy referenced above.
Please stop all debits or charges for premium payments.
I would like to effectively cancel the policy as of June 12, 2019. I would like to
request the refund of any unused premiums within a period of 30 days from the receipt
of this letter and a written confirmation of the cancellation for my records at your
earliest convenience.
Sincerely,
John Doe
[Signature]
©
TEMPLATEROLLER.COM