Free Cancellation Letter for Health Insurance [Sample]

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Learn how to write a cancellation letter for health insurance. Use our sample cancellation letter for health insurance as a template for your cancellation letter.

Cancellation Letter for health insurance sample


Larry Hughes
3234 12th Street
Philadelphia, PA, 19114

XYZ Health Insurance Company
435 Health Insurance Circle
Atlanta, GA, 02334

ATT: Cancellations

RE: Health Insurance Policy #23455523

Please consider this letter as a formal request to cancel the referenced health insurance policy. 

Please stop all debits or charges for premium payments. The effective date of policy cancellation is 05/31/2020.

Please send a written confirmation letter to me within 30 days after the cancellation takes effect. Please refund any and all unused portion of my premium.

I look forward to hearing from you.


Larry Hughes

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