Get the free Policyholder Termination of Coverage Form - peia wv
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State of West Virginia Public Employee Insurance Agency
Policyholder Termination of Coverage FormTERMComplete this form to terminate health/life coverage. Complete all sections of the form except
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What is policyholder termination of coverage?
Policyholder termination of coverage is when the policyholder decides to end their insurance policy before its expiration date.
Who is required to file policyholder termination of coverage?
The policyholder is required to file the termination of coverage.
How to fill out policyholder termination of coverage?
Policyholder can fill out the termination of coverage form provided by the insurance company and submit it either online or through mail.
What is the purpose of policyholder termination of coverage?
The purpose of policyholder termination of coverage is to officially end the insurance policy and stop coverage.
What information must be reported on policyholder termination of coverage?
The policyholder must report their name, policy number, reason for termination, effective date of termination, and any additional requested information.
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