West Virginia Code of State Rules
Agency 114 - Insurance Commission
Title 114 - LEGISLATIVE RULE INSURANCE COMMISSIONER
Series 114-06 - Credit Life Insurance, Credit Accident And Sickness Insurance, And Credit Unemployment Insurance
Appendix C
Universal Citation: 114 WV Code of State Rules C
Current through Register Vol. XLI, No. 38, September 20, 2024
(Name and Address of Institution, Retailer or Company)
Dear (Debtor/Insured):
As a result of your payment in full of account number _______, you have the right to cancel any credit insurance policy or certificate issued in conjunction with that account and receive a refund of any unearned insurance premiums.
To cancel the credit insurance policy or certificate, please notify, in writing, the seller(s) of this insurance listed below:
Seller: _________________________________
(Address) _________________________________
_________________________________
Insurer: _________________________________
(Address) _________________________________
_________________________________
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