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Health Insurance Cancellation Letter: Template and Deadlines

Short answer: to stop your health insurance from renewing you have to give notice in writing at least one month before the current period ends. That is what article 22 of the Spanish Insurance Contract Act (Ley 50/1980 de Contrato de Seguro) says. If your policy expires on 31 December the deadline is 30 November and it is best if your insurer already has the letter on that day. The policyholder signs it, it includes the policy number and it asks for written confirmation. Below you will find a template letter to copy, the ways to send it so there is proof and what happens if you are late. And a warning that saves you from the only serious mistake when switching insurers: the cancellation is sent after your new insurance has been accepted. At Oficina Sanitas Majadahonda (an exclusive Sanitas agency) we prepare the letter with you.

Laura13 min

Exclusive Sanitas agent · DGSFP C0320B67816207View certificate

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Related guide: Switching health insurance before January: dates and steps

How to cancel your health insurance step by step

Every November we get the same question on WhatsApp: “I want to switch in January, what do I write to my insurer and how long do I have?”. This guide answers it with the law in front of us and with a template letter. It works for any health insurance that renews every year, whoever your insurer is. The full calendar for the switch is in our guide to switching health insurance before January, linked at the start of this article.

When to give notice: at least one month before expiry

Think of a family who have been with the same insurer for six years and received their 2027 premium in October. They have compared, decided to switch and think a phone call in December to say they are leaving is enough. It is not. Health policies usually renew every year unless someone says otherwise and both the form and the deadline for saying so are set by law. Anyone who calls on 15 December may find they already have a policy for the whole of the following year.

Article 22 of Act 50/1980 on Insurance Contracts says that either party can oppose the renewal with written notice to the other. The policyholder has to give it at least one month before the end of the current insurance period and the insurer two months before. For a policy ending on 31 December that means 30 November at the latest, which this year falls on a Monday. We recommend that by that day your insurer has already received the letter and not just that you have sent it. The same article requires the insurer to notify you of any change to the contract at least two months before the period ends. That is why next year's premium should reach you in time to decide and write.

How to find out when your policy expires

Not all policies expire on 31 December. Imagine someone who took out their insurance on 1 April and is convinced they have until the end of November to give notice. If their policy year ends on 31 March their deadline actually ends at the end of February. Some policies expire twelve months after enrolment and others run by calendar year even if they were taken out in summer. The only way to know is to look at your own contract and not at someone else's calendar.

The date is in your policy's particular conditions. The Insurance Contract Act requires the policy to state the duration of the contract with the day and time its effects begin and end (article 8) and to highlight the conditions and deadlines for opposing renewal (article 22). Look for words like “vencimiento” (expiry), “duración” (duration) or “fecha de efecto y vencimiento” (start and expiry date). If you cannot find the document, ask for it in your insurer's customer area or in writing with your policy number. Do not rely only on the premium receipt: the date of the charge does not always match the expiry date of the contract. With the date in front of you count back one month and note that day down. If you send us a photo of your particular conditions on WhatsApp at +34 655 02 69 85 we tell you your deadline.

What the cancellation letter has to say

The letter that causes the most problems is the one that reads like a complaint. It has two paragraphs about the price increase, none with the policy number and at the end an “I want to cancel” with no date. Whoever receives it has to guess which policy it is about, from when and who is signing it. The one that works is short and even boring. You do not need to explain why you are leaving: article 22 only asks for written notice given in time.

It has to include five things. Who you are: the policyholder's full name and DNI or NIE. The policyholder is the person who took out the policy and is the one who signs even if the insured persons are other people. Which policy it is: the number and the type of insurance (health). What you want: that you oppose the renewal and are not renewing, with the expiry date written out. The date and your signature. And what you ask for: written confirmation that they have received it and of the cancellation date and that they do not issue receipts for any later period. Nothing else. Pending claims and refunds go in a separate letter so they do not hold this one up.

Cancellation letter template to copy

This is a template for guidance. Copy the text, replace what is in square brackets with your details and check in your policy which address or email communications have to be sent to. If you like, we fill it in with you. And if your insurer asks for it in Spanish, the letter can be sent in Spanish: we prepare the Spanish version with you.

Template letter

[Policyholder's full name]. DNI or NIE [number]. [Postal address, phone and email].

For the attention of [name of your insurer]. [Department and address stated in your policy for communications].

[Town], [day] [month] [year].

Subject: opposition to the renewal of health insurance policy no. [policy number].

As policyholder of health insurance policy no. [policy number], whose current period ends on [expiry date], I hereby notify you of my decision not to renew it and of my opposition to its renewal. I do so in writing and with the notice of at least one month established in article 22 of the Insurance Contract Act 50/1980 of 8 October (Ley 50/1980 de 8 de octubre de Contrato de Seguro).

I ask you to cancel the policy with effect from the expiry date stated above and not to issue any premium receipt for a later period.

Please confirm in writing that you have received this notice and the cancellation date of the policy at the address or email stated above.

Yours faithfully. [Policyholder's signature]. [Full name].

How to send it so there is proof

A phone call is not enough. Nor is telling the person who serves you at one of your insurer's offices if you leave without anything signed. The law asks for written notice and if there is ever a dispute you will have to prove two things: what you said and when your insurer received it. Imagine that in January they charge you the premium and tell you they have no record of any letter. The only thing that gets you out of trouble is a dated receipt.

Article 22 does not set a specific channel. Choose one that leaves proof. A burofax with acknowledgement of receipt and certification of content (a certified communication sent through Correos, the Spanish post office) proves the text and the delivery date and is the safest option when little time is left. Email and the customer area form are valid if your policy accepts them as a channel for communications: use the address stated in the policy, attach the signed letter as a PDF and keep the reply or the acknowledgement. You can also hand it in in person at one of your insurer's offices and keep a copy stamped and dated. Keep the proof with your policy. If a few days go by without confirmation, write again before the deadline runs out.

The right order: first Sanitas accepts you and then you cancel

The most serious mistake when switching insurers is sending the cancellation too early. Imagine you send the letter on 10 November and apply for the new insurance on the 20th. When your health questionnaire is reviewed you are asked for medical reports and the answer is delayed, but your letter has already gone. That is why at the office the rule has no exceptions: first we request your enrolment with Sanitas with an effective date of 1 January and only when Sanitas accepts it do you send your letter. Enrolment is requested with an application and a health questionnaire and can be prepared weeks in advance.

With that order you also look after your waiting periods. Sanitas can waive the medical directory waiting periods for people coming from another insurer: it is an underwriting policy that is requested at enrolment and decided by Sanitas when processing it. You need to have been on a full health policy with another private insurer operating in Spain for at least a year with not a single day's gap: cancellation on 31 December and enrolment on 1 January. You prove it with the particular conditions or a certificate from your insurer and the last paid premium receipt. Ask for them before sending the cancellation. The childbirth waiting period is not waived in any case and keeps its 8 months. Nor are the waiting periods for bariatric surgery or for reimbursement cover. Conditions you already have are declared all the same in the health questionnaire.

If you are late and how we help you with the letter

If your notice arrives late the insurer may consider the contract renewed for another period, which is normally one year. Stopping payment or returning the premium receipt is not a cancellation: article 15 of the same Act provides that cover is suspended one month after the premium falls due and that the insurer can claim the premium for the current period. The sensible thing is to send the letter in writing anyway and ask for a reply, because each insurer handles late cancellations in its own way. Also keep the notice in which you were told about the changes for the following year together with its date. Bring us the paperwork and we look with you at what room there is. And if the policy renews, note down next year's date now.

At the office we prepare the letter with you. Send us a photo of your particular conditions and we send you back the text with your policy number and your expiry date ready to sign. We tell you your deadline and let you know when to send it: once Sanitas has accepted your new insurance. For enrolments with an effective date of 1 January there are special conditions and we always give you the best price, guaranteed. Everything can be done remotely or at the Majadahonda office without an appointment. Message us on WhatsApp at +34 655 02 69 85 (every day) or call us on +34 919 93 17 90 during office hours: Monday to Thursday from 9:00 to 14:00 and from 16:00 to 18:00 and Fridays from 9:00 to 15:00. 440 reviews with a 5.0 rating on Google say so.

Deadlines according to articles 8, 15 and 22 of Act 50/1980 of 8 October on Insurance Contracts (BOE consolidated text consulted in November 2026): the policyholder can oppose the renewal with written notice at least one month before the current insurance period ends and the insurer with two months' notice. The template letter is for guidance only and does not replace legal advice: check in your policy the expiry date and the channel set out for communications. The waiver of waiting periods for coming from another insurer is a Sanitas underwriting policy: it is requested at enrolment and decided by Sanitas when processing it. The special conditions for enrolments with an effective date of 1 January depend on the product and are confirmed when the application is prepared. The guaranteed best price applies to full health insurance with hospitalisation. Oficina Sanitas Majadahonda is an exclusive agency of Sanitas, S.A. de Seguros: ANYO HEALTH SL, DGSFP code C0320B67816207. Sanitas is a registered trademark of Sanitas, S.A. de Seguros.

Common questions

Direct answers, the same we give at the office.

How much notice do I have to give to cancel my health insurance?

At least one month before the end of the current insurance period and in writing. That is what article 22 of the Spanish Insurance Contract Act (Ley 50/1980 de Contrato de Seguro) says for the policyholder. The insurer needs two months if it is the one that does not want to renew. If your policy expires on 31 December the deadline is 30 November.

Is an email enough or does it have to be a burofax?

The law asks for written notice and does not set a channel. What matters is being able to prove what you sent and when your insurer received it. A burofax with acknowledgement of receipt and certification of content is the safest route. Email or the customer area form are valid if your policy accepts them as a channel for communications and you keep the acknowledgement or the reply. A phone call leaves no record.

Who has to sign the cancellation letter?

The policyholder, who is the person who took out the policy. It may be none of the insured persons: for example a parent who pays for their children's insurance. Their name is in the particular conditions. The letter includes their name, their DNI or NIE, the policy number and their signature.

Where can I see my policy's expiry date?

In the particular conditions. The Insurance Contract Act requires the policy to state the duration of the contract with the day and time its effects begin and end. Not all policies expire on 31 December: many complete their year on the date they were taken out. If you do not have the document, ask your insurer for it with your policy number.

Do I have to explain why I am cancelling?

No. Article 22 only requires the opposition to renewal to be notified in writing and within the deadline. A short letter with your details, the policy number, the expiry date and your wish not to renew is enough. In it, ask them to confirm the cancellation in writing.

What happens if I give notice after 30 November?

If your policy expires on 31 December and the notice arrives late, the insurer may consider the contract renewed for another period. Not paying the premium receipt is not the same as cancelling: the law provides that the insurer can claim the premium for the current period. Send the letter in writing anyway, ask for a reply and bring us your policy so we can see what room there is.

If I switch to Sanitas, will I have waiting periods again?

Sanitas can waive the medical directory waiting periods if you have been on a full health policy with another private insurer in Spain for at least a year and there is not a single day's gap between the cancellation and the enrolment. It is requested at enrolment with your particular conditions or a certificate and the last paid premium receipt. Sanitas makes the decision. The childbirth waiting period keeps its 8 months in any case. That is why the enrolment is processed first and the cancellation is sent afterwards.

Official sources

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