[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Insurance Company Name] [Address] [City, State, ZIP] Subject: Pending Cancellation of Life Insurance Policy — Request for Review Dear [Insurance Company Name], I am writing to express my concern regarding the pending cancellation of my life insurance policy, which I currently hold with your esteemed company. My policy details are as follows: Policyholder Name: [Your Name] Policy Number: [Policy Number] Policy Type: [Term/Whole Life/Universal Life, etc.] Date of Policy Inception: [Inception Date] Coverage Amount: [Coverage Amount] I was recently informed about the potential cancellation of my policy due to non-payment of premiums. However, I would like to clarify that I have been a loyal and diligent policyholder for several years. Unfortunately, due to an unforeseen financial hardship, I experienced a temporary inability to make timely payments. I deeply value the protection and security provided by my life insurance policy, and I am committed to rectifying the situation promptly. Considering my long-standing history with your company and my genuine intent to maintain my coverage, I kindly request that you reconsider the pending cancellation and work with me to find a suitable solution. I understand that the policy may currently be in a state of grace period, but I assure you that I am now in a position to catch up on any missed payments. I kindly request that you provide me with the exact amount due to reinstate my policy, including any outstanding premiums, applicable fees, and any relevant interest charges. If necessary, please provide me with a payment plan option that would allow me to clear the arrears in a timely manner. I genuinely appreciate the value and benefits my life insurance policy provides to my loved ones and me. Losing this coverage would cause significant financial hardship and emotional distress. Therefore, I urge you to reconsider the pending policy cancellation and grant me the opportunity to rectify the situation swiftly. I kindly request a prompt response within [mention a reasonable time frame, e.g., 7 days] to ensure adequate time to make any necessary arrangements and payments. Should you require any additional information or documentation to process my request, please do not hesitate to contact me at [Your Phone Number] or [Your Email Address]. Thank you for your prompt attention to this matter. I trust in your commitment to customer satisfaction and hope for a positive resolution. Sincerely, [Your Name]
Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.