Document created locally
Insurance cancellation letter generator
Enter the details shown in your policy. The preview is created in your browser and is not sent to ClairAssur or an insurer.
No submission · no storage
Letter preview
Check every detail before printing and signing.
[complete], [complete]
Subject: cancellation request
This request concerns only my mandatory health insurance (LAMal). Any supplementary policies remain unchanged.
I ask you to register cancellation of the above contract on the earliest contractually possible date.
If the requested date is not admissible, please process the cancellation on the earliest contractually possible date and tell me the reason.
Please confirm receipt of this request and the effective end date of cover in writing.
Yours faithfully,
[complete]
Opens your browser’s print dialog. No PDF is sent to the server.
Before cancelling
- Check the term, renewal date, notice period, required form and receiving address in your policy and conditions.
- This tool does not verify your right to cancel, the validity of a date or actual receipt by the insurer.
- For supplementary cover, where relevant, wait for confirmation of the new cover before cancelling the existing policy.
What this tool produces
The letter uses only the details you enter and asks the insurer to confirm the effective end date in writing.
Without a date, it requests the earliest contractually possible date. If an entered date is refused, the text asks for the earliest possible date.