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Health insurance cancellation letter template in PDF / Word to print
A cancellation letter fits on one page. Here is what it must contain, how to get it in a printable format, and how to send it so the date of receipt is respected.
What the template must contain, whatever the format
A health insurance cancellation template, whether in PDF, Word or simply printed, always rests on the same details. You state your full identity (surname, first name, address, date of birth), the insured or policy number shown on your card or policy, an unambiguous statement of your wish to cancel, the desired effective date, and your handwritten signature. The file format does not affect validity: what counts is the content and timely receipt.
For basic insurance you do not have to give a reason for leaving. Nor do you need to have already signed with a new fund when you send the letter — but since affiliation to compulsory health care is continuous, it is wise to have a receiving fund ready for 1 January.
PDF, Word or print: what really changes
The Word format (.doc / .docx) is useful if you want to fill in the fields on screen before printing: type your address, policy number and date, then produce a clean version. The PDF is handy for archiving and for printing identically with no layout shift. In both cases, the final letter must be printed and signed by hand if you send it by post.
If you have no word processor, you can generate a pre-formatted letter here, review it, print it and sign it. This is often faster than starting from a blank page and avoids forgetting a detail.
Print, sign, send: the right sequence
Once printed, date the letter with the actual day of writing and sign it by hand. Keep a copy for your records. For basic insurance, sending by registered mail is strongly advised: it gives you a certain date and proof of receipt, essential if a dispute arises over the arrival date.
Mind the calendar: for an exit on 1 January, the cancellation must REACH the fund by 30 November (last working day) at the latest. Because receipt is what counts and not the postmark, do not wait until the last moment: a letter posted on 29 November may arrive too late.
★ Good to know
For basic insurance (KVG/LAMal) the DATE OF RECEIPT by the fund is decisive, not the postmark: allow several days of postal delivery before 30 November.
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Questions fréquentes
Does PDF or Word have a different legal value?
Can I send the PDF by email instead of printing it?
Must I name my new fund in the letter?
Which effective date should I write on the template?
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