[Your Name]
[Your Address]
[City, State, ZIP Code]
[Email Address]
[Phone Number]
[Date]
[Recipient’s Name]
[Recipient’s Position]
[Insurance Company’s Name]
[Address]
[City, State, ZIP Code]
Subject: Authorization for Insurance Policy Management
Dear [Recipient’s Name],
I, [Your Name], holding policy number [Your Policy Number] with [Insurance Company’s Name], hereby authorize [Authorized Person’s Name], residing at [Authorized Person’s Address], to manage all matters related to my insurance policy from [start date] to [end date].
This authorization includes the following actions:
- Policy Changes: Make changes to my policy details, including coverage, beneficiaries, and contact information.
- Claims: File and process insurance claims on my behalf.
- Payments: Make premium payments and manage billing issues.
- Correspondence: Communicate with insurance company representatives and respond to any queries or requests.
The purpose of this authorization is to ensure the effective management of my insurance policy during my absence due to [reason, e.g., travel, work commitments, health issues]. [Authorized Person’s Name] is fully capable and trustworthy to handle these responsibilities.
Attached are copies of my identification, the policy document, and [Authorized Person’s Name]’s identification for verification purposes. Should you require any further information or have any questions, please contact me directly at [your phone number] or [your email address].
Thank you for your cooperation.
Sincerely,
[Your Name]
[Signature]