[Your Name] [Your Address] [City, State, ZIP] [Email Address] [Phone Number] [Date] [Life Insurance Company Name] [Address] [City, State, ZIP] Subject: Pending Cancellation of Life Insurance Policy Dear [Life Insurance Company Name], I am writing to address the pending cancellation of my life insurance policy, with policy number [Policy Number], which was issued by your esteemed company on [Policy Start Date]. I have recently received a notice indicating the potential cancellation of the policy due to non-payment of the premium. I understand the importance and value of maintaining a life insurance policy to secure the financial protection and future well-being of my loved ones. However, I would like to bring to your attention that this potential cancellation is a result of an oversight on my part rather than a lack of commitment or intention to continue with the coverage. I sincerely apologize for the delay in premium payment, as I experienced unforeseen financial hardship that temporarily affected my ability to make timely payments. However, I am now in a position to rectify this situation and ensure the continuation of my life insurance coverage. In order to resolve this matter promptly, I am enclosing the outstanding premium payment for the period of [Coverage Period]. Please find enclosed a check for [Amount] to cover the overdue premium amount. Additionally, I kindly request you to waive any late fees or penalties associated with the delayed payment, as this was a genuine hiccup in my financial obligations. I understand that timely payment of insurance premiums is crucial to maintain active coverage and avoid any potential lapses. I assure you that I will make every effort to ensure this situation does not reoccur, as I highly value the benefits and protection provided by my life insurance policy. If there are any additional documents or forms required to reinstate my policy, please let me know as soon as possible, and I will promptly provide them. I kindly request that you confirm the reinstatement of my policy and its active status in writing. Thank you for your understanding and cooperation in this matter. I greatly appreciate your consideration and look forward to your prompt response regarding the pending cancellation of my life insurance policy. Please do not hesitate to contact me at [Phone Number] or [Email Address] if you require any further information or clarification. Yours 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.