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The Cancellation Letter For Health (Insurance) is a crucial document used in the Philippine insurance market when a policyholder wishes to terminate their health insurance coverage. This document must comply with the Insurance Code of the Philippines (Republic Act No. 10607) and relevant Insurance Commission circulars, which set specific requirements for policy cancellations. The letter serves as official documentation of the policyholder's intent to cancel their health insurance policy and typically includes policy details, effective cancellation date, and reason for cancellation. It protects both the policyholder's right to terminate coverage and the insurance provider's need for proper documentation. This document is particularly important in ensuring a clear audit trail and proper processing of the cancellation request, while also facilitating any necessary premium refunds or claim settlements.

1. Policyholder Information: Full name, address, contact details, and policy number of the insurance holder

2. Insurance Provider Details: Complete name and address of the insurance company

3. Policy Identification: Specific details of the health insurance policy being cancelled, including policy number and type

4. Cancellation Request Statement: Clear statement of intent to cancel the policy

5. Effective Date: Specified date when the cancellation should take effect

6. Reason for Cancellation: Brief explanation of why the policy is being cancelled

7. Premium Status Declaration: Statement regarding any outstanding premiums or paid-up status

8. Signature Block: Space for policyholder's signature, printed name, and date