West Virginia Termination of Coverage Form

• Category: West Virginia Workers Compensation - Official
• State: West Virginia
• Control #: WV-SKU-0541
• Format: PDF

Description

Termination of Coverage Form West Virginia Termination of Coverage Form is a document used to terminate an existing insurance policy in the state of West Virginia. This form is typically filled out by the policyholder to communicate their intention to end their insurance coverage. There are two types of West Virginia Termination of Coverage Forms: one for individual policies and one for group policies. The individual West Virginia Termination of Coverage Form requires the policyholder to provide information such as name, policy number, date of termination, and the reason for termination. The group West Virginia Termination of Coverage Form requires the policyholder to provide additional information such as the names of each member to be covered, their Social Security numbers, the policy number and the date of the termination. Both forms must be submitted to the insurance company in order to cancel the policy.

West Virginia Termination of Coverage Form is a document used to terminate an existing insurance policy in the state of West Virginia. This form is typically filled out by the policyholder to communicate their intention to end their insurance coverage. There are two types of West Virginia Termination of Coverage Forms: one for individual policies and one for group policies. The individual West Virginia Termination of Coverage Form requires the policyholder to provide information such as name, policy number, date of termination, and the reason for termination. The group West Virginia Termination of Coverage Form requires the policyholder to provide additional information such as the names of each member to be covered, their Social Security numbers, the policy number and the date of the termination. Both forms must be submitted to the insurance company in order to cancel the policy.