[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

[DATE]

[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.

Sincerely, 

[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.

Regards,

[Your Name]
[Address]

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