Get Rescind Letter Template

Filling out a rescind letter template online is a straightforward process that requires attention to detail. This guide will help you understand each section of the template and provide step-by-step instructions for completion.

Follow the steps to complete the Rescind Letter Template online.

1. Press the ‘Get Form’ button to access the rescind letter template and open it in your online editor.
2. Begin by entering the date at the top of the form. Ensure that it reflects the current date on which you are completing the letter.
3. In the next section, include the name and address of the commissions or licensing department. For this template, input 'Commissions/Licensing Department, Independence Blue Cross, 1901 Market Street, Philadelphia, PA 19103'.
4. Write a clear subject line that reads 'Re: Rescind Letter' followed by placeholders where you will add your group name and group number(s).
5. In the body of the letter, specify the name of the broker (e.g., Broker Name) and the group they represent (e.g., Company Name) as stated in the template.
6. Acknowledge the need for a direct contract between the carriers and your account by including the specified wording from the template.
7. Clarify the commission payment structure by including the details found in the template regarding who should receive payments and the nature of commissions.
8. Include a statement on rescinding the prior broker of record change, ensuring that you express your desire to restore the previous broker.
9. Sign the letter with your name and title (e.g., Executive Name, Title) to authenticate the document.
10. Finally, review all entries for accuracy, and once satisfied, save your changes, download your document, print it, or share it as required.

Complete your rescind letter template online today to ensure your broker of record is restored without delay.