[Sample] Insurance Refund Request Letters

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Learn how to write an insurance refund request letter. Use our sample insurance refund request letters as a template for your refund request letter.

Sample 1 - Insurance refund request Letter


[Name on Policy]
[Address of Policy Holder]
[City, State, Zip]

[XYZ Insurance Company]
[Address of Company]
[City, State, Zip]

ATT: Cancellations

RE: Insurance Policy: [#755545]

Please consider this letter as a formal request to cancel the referenced insurance policy. Please stop all debits or charges for premium payments. The effective date of policy cancellation is [DATE].

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.


[Name of Policy Holder]

Sample 2 - Insurance refund request Letter

[Today’s Date]

Attn: Cancellations Department
[Insurance Company Name]
[Insurance Company Address]

Re: Cancellation of [Insurance Policy #]:

To Whom It May Concern:

I regret to inform you that I, [Your Name] have decided to terminate my insurance coverage effective immediately.

The reason for my decision is based on finding a more comprehensive coverage for a lower cost. At your earliest convenience, kindly provide me with formal confirmation of the cancellation for my records. Also, if part of my premium was not used, kindly return it.


[Your Name]

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