This form is a sample letter in Word format covering the subject matter of the title of the form.
[Your Name] [Your Address] [City, State, Zip Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Position] [Insurance Company Name] [Company Address] [City, State, Zip Code] Subject: Complaint for Claim and Delivery Hearing — Policy No. [Policy Number] Dear [Recipient's Name], I am writing to formally lodge a complaint regarding the claim and delivery issue related to my insurance policy, which is underwritten by your esteemed company. The purpose of this letter is to request a prompt resolution of the matter and the subsequent scheduling of a claim and delivery hearing, as per the appropriate regulations outlined by the State of West Virginia. I purchased the aforementioned insurance policy ([Policy Number]) from your company on [Purchase Date]. The said policy provides coverage for [Insurance Coverage Details]. I have been a loyal and responsible policyholder, diligently adhering to all the terms and conditions specified within the policy. Regrettably, I am now confronted with a situation where I need to invoke my rights as a policyholder to claim the benefits due to me under the said policy. Despite my repeated attempts to contact your company regarding the claim, I have not received any positive response or satisfactory resolution to date. I would like to bring to your attention the timeline of events and interactions related to this claim: 1. [Date]: I initially submitted the claim via [Insurance Company's Preferred Method of Claim Submission], providing all the necessary supporting documentation as per your instructions. 2. [Date]: After several weeks of no communication, I contacted [Insurance Company's Customer Service Department] to inquire about the status of my claim. The representative assured me that my claim was being processed and that I would receive a resolution soon. 3. [Date]: Frustrated by the lack of progress, I sent a certified letter to your company's Claims Department, requesting an update on the status of my claim and emphasizing the urgency of my situation. 4. [Date]: Having not received any response to my certified letter, I contacted the Claims Department once again and spoke with [Representative's Name]. They promised to look into the matter and expedite the resolution process. Despite these attempts, I have not received the necessary assistance or a satisfactory resolution to my claim. As my right to claim the mentioned benefits is being unduly violated, I hereby request an immediate hearing regarding the claim and delivery of my entitled benefits. I kindly request that you acknowledge this complaint letter within [Timeframe e.g., 7 business days], providing me with written confirmation of receipt and outlining the next steps in the process, including the expected timeframe for the claim and delivery hearing. Please consider this complaint as an earnest attempt to resolve the matter in good faith and within the parameters defined by the State of West Virginia's insurance regulations. Failure to address this issue promptly may necessitate further legal action or reporting to the relevant authorities. I expect your utmost attention, cooperation, and a fair resolution to this claim and delivery issue. Enclosed with this letter are copies of all relevant correspondence, documentation, and evidence, which I believe will facilitate a swift resolution during the proposed hearing. Should you require any additional information or have any questions regarding this complaint, please contact me at [Your Phone Number] or via email at [Your Email Address]. I hope to receive a timely response from your end to commence the claim and delivery hearing process. Thank you for your prompt attention to this matter. Yours sincerely, [Your Name]
[Your Name] [Your Address] [City, State, Zip Code] [Email Address] [Phone Number] [Date] [Recipient's Name] [Recipient's Position] [Insurance Company Name] [Company Address] [City, State, Zip Code] Subject: Complaint for Claim and Delivery Hearing — Policy No. [Policy Number] Dear [Recipient's Name], I am writing to formally lodge a complaint regarding the claim and delivery issue related to my insurance policy, which is underwritten by your esteemed company. The purpose of this letter is to request a prompt resolution of the matter and the subsequent scheduling of a claim and delivery hearing, as per the appropriate regulations outlined by the State of West Virginia. I purchased the aforementioned insurance policy ([Policy Number]) from your company on [Purchase Date]. The said policy provides coverage for [Insurance Coverage Details]. I have been a loyal and responsible policyholder, diligently adhering to all the terms and conditions specified within the policy. Regrettably, I am now confronted with a situation where I need to invoke my rights as a policyholder to claim the benefits due to me under the said policy. Despite my repeated attempts to contact your company regarding the claim, I have not received any positive response or satisfactory resolution to date. I would like to bring to your attention the timeline of events and interactions related to this claim: 1. [Date]: I initially submitted the claim via [Insurance Company's Preferred Method of Claim Submission], providing all the necessary supporting documentation as per your instructions. 2. [Date]: After several weeks of no communication, I contacted [Insurance Company's Customer Service Department] to inquire about the status of my claim. The representative assured me that my claim was being processed and that I would receive a resolution soon. 3. [Date]: Frustrated by the lack of progress, I sent a certified letter to your company's Claims Department, requesting an update on the status of my claim and emphasizing the urgency of my situation. 4. [Date]: Having not received any response to my certified letter, I contacted the Claims Department once again and spoke with [Representative's Name]. They promised to look into the matter and expedite the resolution process. Despite these attempts, I have not received the necessary assistance or a satisfactory resolution to my claim. As my right to claim the mentioned benefits is being unduly violated, I hereby request an immediate hearing regarding the claim and delivery of my entitled benefits. I kindly request that you acknowledge this complaint letter within [Timeframe e.g., 7 business days], providing me with written confirmation of receipt and outlining the next steps in the process, including the expected timeframe for the claim and delivery hearing. Please consider this complaint as an earnest attempt to resolve the matter in good faith and within the parameters defined by the State of West Virginia's insurance regulations. Failure to address this issue promptly may necessitate further legal action or reporting to the relevant authorities. I expect your utmost attention, cooperation, and a fair resolution to this claim and delivery issue. Enclosed with this letter are copies of all relevant correspondence, documentation, and evidence, which I believe will facilitate a swift resolution during the proposed hearing. Should you require any additional information or have any questions regarding this complaint, please contact me at [Your Phone Number] or via email at [Your Email Address]. I hope to receive a timely response from your end to commence the claim and delivery hearing process. Thank you for your prompt attention to this matter. Yours sincerely, [Your Name]