[Your Name/Organization Name]
[Address]
[City, State, ZIP Code]
[Phone Number]
[Email Address]
[Date]

[Recipient’s Name]
[Recipient’s Address]
[City, State, ZIP Code]

Dear [Recipient’s Name],

I am writing to inform you that, unfortunately, your benefits coverage under [Policy/Membership Number] with [Organization Name] will be terminated effective [Effective Date]. This decision has been made due to [briefly explain the reason for termination, e.g., non-payment of premiums for the past three months].

Your coverage under this policy has been in effect since [Start Date], and we understand the importance of insurance coverage. We deeply regret having to take this action and encourage you to reach out to our customer service team at [Customer Service Phone Number] for any clarifications or to discuss potential alternatives.

In case of any outstanding payments or obligations, please make sure to settle them promptly to avoid further complications. If you believe that this termination is in error or if you would like to discuss options for continuing your coverage, please contact our office within [Deadline for Appeal] to initiate an appeal process.

We are committed to making this transition as smooth as possible for you. If you have any questions or require assistance during this process, do not hesitate to reach out to our dedicated support team at [Customer Service Email Address].

Thank you for your understanding and cooperation throughout this process. We hope that you find a suitable solution for your coverage needs in the future.

Sincerely,

[Your Signature]

[Your Typed Name]
[Your Title]
[Organization Name]

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